348262
Gout
- caused by excessive
purines in diet (organ
meats, shellfish), severe
dieting/starvation, heredity
- urate crystals precipitate within
joint - infl occurs - gout attack,
repeated cause tophi formation
- CM's - gouty arthritis, tophi,
gouty nephropathy, uric acid
urinary calculi,
- normally at night, wakened
w/ pain, redness, swelling,
warmth in joint
- brought on by alcohol,
dieting, trauma,
medications, surgical
stress, illness
- normally at night, wakened
w/ pain, redness, swelling,
warmth in joint
- Meds/treatment
- colchicine, NSAID's, corticosteroids for acute
attacks; probenecid (uricosuric) reduce
serum uric acid and dissolve urate crystals;
allopurinol if renal insufficiency/kidney stones
- colchicine, NSAID's, corticosteroids for acute
attacks; probenecid (uricosuric) reduce
serum uric acid and dissolve urate crystals;
allopurinol if renal insufficiency/kidney stones
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