Gout Flashcards
(6 cards)
What is gout?
Inflammatory arthritis related to hyperuricaemia
Which joint is most commonly involved in gout?
1st metatarsophalangeal joint (podagra)
What are the risk factors for gout?
> 40 years, male, family history
Increased purine intake, alcohol intake, high fructose intake, obesity, CHF, coronary artery disease
smoking, HTN, diabetes
What are the investigations for gout?
Joint aspiration - rule out septic arthritis
X-ray - punched out bone erosion
Serum uric acid level
What is the management for gout?
Acute - NSAIDs (naproxen), prednisolone, colchicine
Long-term - allopurinol/febuxostat
Lifestyle modifications
What is pseudogout?
Caused by calcium pyrophosphate crystals