null
US
Sign In
Sign Up for Free
Sign Up
We have detected that Javascript is not enabled in your browser. The dynamic nature of our site means that Javascript must be enabled to function properly. Please read our
terms and conditions
for more information.
Next up
Copy and Edit
You need to log in to complete this action!
Register for Free
17542269
Roger’s Painful Toe
Description
Mind Map on Roger’s Painful Toe, created by Alya Almualla on 01/04/2019.
Mind Map by
Alya Almualla
, updated more than 1 year ago
More
Less
Created by
Alya Almualla
over 5 years ago
56
0
0
Resource summary
Roger’s Painful Toe
Due to
Gout
Monoarthritis
Differential Diagnosis
Evaluation and clinical approach
Septic Arthritis
Causative agents
Pseudogout
Chondrocalcinosis
Deposition of calcium pyrophosophate dihydrate crystals
Calcium pyrophosophate dihydrate disease "CPPD"
Weakly positively birefringent (blue) rhomboid-shaped crystals
Large joints (KNEE or wrist) / Other joints
Periarthritis
Pain in the joint
Calcium crystals deposited
1-4 weeks
Hypercalcemic conditions
Triggered by trauma
Relieving pain / Self limited
Confirmed by X-ray / US
Articular vs. Non-articular
ROM
Articular
Pain on active and passive motion
Non-articular
Specific motion
Tenderness
Articular
Surface circumference
Non-articular
Over bony prominence along tendons
Pain
Articular
Generalized, deep or diffuse pain
Non-articular
Localized
Inflammatory vs. non-inflammatory
Hyperuricaemia
Deposition of Monosodium Urate Crystals
Due to purine abnormality
Purine Metabolism
Purine degradation
Negatively birefringent (yellow) needle-shaped crystals
First metatarsophalangeal joint (BIG TOE) / Other joints
Stages
Asymptomatic hyperuricemia
No symptoms / Hyperuricaemia / Crystals are forming in joint
Before the first attack
Acute gout “Gout attack”
Painful arthritic attack of sudden onset
Damage starts
Interval gout
Period between the attacks
No pain, but a low level of inflammation
Chronic gout
Frequencies increase + Chronic hyperuricaemia
Complications
Joint damage and chronic pain
Large subcutaneous tophi
Deposition of urate crystals in kidney
Kidney failure
Destroyed articular cartilage
Joint deformity and loss of mobility
Psychological and emotional problems
Causes and Risk Factors
Age and gender
Genetics
Lifestyle choices
Lead exposure
Medications
Thiazide diuretics
Aspirin
Weight
Recent trauma or surgery
Other health problems
Renal insufficiency
Pathogenesis
Investigations
Blood test
Joint fluid test (Arthrocentesis)
Radiology
X-ray
US
Dual energy CT scan
Management
Acute
Chronic
Media attachments
Mono (binary/octet-stream)
E (binary/octet-stream)
Screen Shot 2019 04 01 At 21.10.55 (binary/octet-stream)
In (binary/octet-stream)
Xray (binary/octet-stream)
Cppd (binary/octet-stream)
Dsss (binary/octet-stream)
Deg (binary/octet-stream)
Msu (binary/octet-stream)
Gout (binary/octet-stream)
Xxx (binary/octet-stream)
Chr (binary/octet-stream)
Acu (binary/octet-stream)
Gouuu (binary/octet-stream)
Show full summary
Hide full summary
Want to create your own
Mind Maps
for
free
with GoConqr?
Learn more
.
Similar
The Digestive System
cian.buckley
Food Chains and Food Webs Quiz
Selam H
A Christmas Carol - Charles Dickens
chloeprincess10
A-Level History: Nazi Germany
cian.buckley+1
Break-even Analysis - FLASH CARDS
Harshad Karia
Guia rápido: Bem-vindo a GoConqr
miminoma
GCSE REVISION TIMETABLE
holbbox
GCSE Revision Tips
miminoma
Using GoConqr to study geography
Sarah Egan
1_PSBD New Edition
Ps Test
Specifc Topic 7.4 Timber (Impacts)
T Andrews
Browse Library