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  • Gout - Rdu

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    Elijah
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    A 41-year-old African American male presented with severe knee pain, redness, and swelling that later affected his big toe. Based on the patient's medical history of hypertension, gout attacks, and binge drinking, a diagnosis of gout was made. The goals of treatment are to relieve the acute attack through the use of NSAIDs, corticosteroids, or colchicine, prevent future flares through lifestyle changes and medication, and reduce urate stores long-term. The patient was counseled on diet, exercise, medication adherence and home remedies.

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    4. GOUT - RDU

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    A 41-year-old African American male presented with severe knee pain, redness, and swelling that later affected his big toe. Based on the patient's medical history of hypertension, gout attacks, and binge drinking, a diagnosis of gout was made. The goals of treatment are to relieve the acute attack through the use of NSAIDs, corticosteroids, or colchicine, prevent future flares through lifestyle changes and medication, and reduce urate stores long-term. The patient was counseled on diet, exercise, medication adherence and home remedies.

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    3 views1 page

    Gout - Rdu

    Uploaded by

    Elijah
    A 41-year-old African American male presented with severe knee pain, redness, and swelling that later affected his big toe. Based on the patient's medical history of hypertension, gout attacks, and binge drinking, a diagnosis of gout was made. The goals of treatment are to relieve the acute attack through the use of NSAIDs, corticosteroids, or colchicine, prevent future flares through lifestyle changes and medication, and reduce urate stores long-term. The patient was counseled on diet, exercise, medication adherence and home remedies.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    GOUT

    RDU - MONICA MUNYORO


    41 yo African American male complaining of severe, 8/10 knee pain, erythema and joint swelling. pain
    persisted through day but subsided next morning, Next day was felt on big toe. No hx of injury, fever, rash,
    chills, decreased ROM.

    1. DIFFERENTIALS
    - gout
    - pseudo gout
    - rheumatoid arthritis
    - septic arthritis
    - reactive arthritis
    - bursitis
    - osteoarthritis
    2. DIAGNOSTIC CRITERIA
    - male sex
    - previous attack
    - onset within one day
    - joint redness
    - first Metatarsophalangeal joint involvement
    - HTN
    - black
    - binge drinker
    3. GOALS OF THERAPY
    - treating acute attack - relieve pain, reduce signs of inflammation, restore function
    - prophylaxis to prevent acute flares
    - reduce urate stores to prevent flares of gouty arthritis
    4. DRUGS FOR ACUTE GOUT
    - NSAIDs (Indomethacin, Ibuprofen, Diclofenac)
    - Corticosteroids (prednisone)
    - Colchicine
    - ACTH
    5. ADVICE TO PATIENT
    - Lifestyle modification to lose weight
    - exercise
    - reduce intake
    - avoid purine rich foods - red meat anchovies, trout, liver
    - stop drinking alcohol
    - switch to Losartan for HTN
    - stay hydrated
    - home remedies eg. ice to reduce joint pain
    - adherence counselling

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