| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
Mrs.
Robinson's uric acid is normal, what's more her overall clinical picture
isn't right for gout.
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Gout is the result of hyperuricemia.
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Uric acid is the end point of
purine metabolism
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Plasma levels >7mg/dL
-
7mg/dL is the point of saturation
at bodily pH and temperature.
-
Gout comes in several forms
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Acute arthritis
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Chronic arthritis
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Tophaceous gout
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Contributing factors
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Age: over 30 as a rule.
-
Genetic predisposition
-
Heavy alcohol consumption
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Some medications (thiazides
especially)
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Lead toxicity
OK, so it's RA, what
are we going to do for her?
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