Gout

Question 1

patho of gout

Answer 1

Systemic arthritis resulting from deposition of uric acid crystals in tissues and fluids within the body –> Inflammation

Question 2

most common form of gout =

Answer 2

primary

Question 3

what is primary gout?

Answer 3

Results from one of several inborn errors of purine metabolism ( increase uric acid)

• Production of uric acid > excretion of uric acid
• May be inherited
• Peak onset is from 40 -50

Question 4

what is secondary gout?

Answer 4

• Hyperuricemia from another disease or problem

- Does not discriminate on the basis of age

Question 5

3 stages of gout

Answer 5

1. Asymptomatic hyperuricemia
2. Acute gouty arthritis
3. Chronic/ tophaceous gout

Question 6

stage of gout when Only obvious from a serum uric acid level

Answer 6

Asymptomatic hyperuricemia

Question 7

what is happening during seocnd phase of gout -Acute gouty arthritis

Answer 7

“Attack”
Excruciating pain and inflammation
Metatarsophalangeal joint of great toe (Podagra)

Question 8

when does Chronic/ tophaceous gout occur?

Answer 8

Occurs after repeated attacks
Deposits of urate crystals form under the skin and in major organs
Renal-philic
Kidney stones

Question 9

assessment for gout

Answer 9

History
Joint inflammation
Severe pain
Typically affects smaller joints
Renal stones
Renal insufficiency
Tophi
	Outer ear
	Arms
	Fingers

Question 10

where are tophi occuring?

Answer 10

Outer ear
Arms
Fingers
Toes

Question 11

2 meds for gouts

Answer 11

Colchicine

Allopurinol

Question 12

AVOID w/ gout

Answer 12

• aspirin
• diuretics
• high purine
• stress

Question 13

alkaline ash foods for gout

Answer 13

Citrus foods. juice

Milk/ dairy