Gouty Arthritis

By: Liana Sencin

and
Abraham
De La Garza
 Introductory Info
Our kidneys work to
eliminate the body of
excess fluids
Rids water, salts, urea,
and uric acid
Uric acid is a waste of
protein metabolism
 Gouty Arthritis
Gout can also occur as a
result of overproduction
of uric acid
Gout is an attack of uric
acid deposits in joints
Usually found in joints
of feet and legs
 What is Gouty Arthritis
Purines are not properly
processed in our body
Excreted through
kidneys and urine
Hyperuricemia- build-
up of uric acid in body
and joint fluid
The Four Stages of Gout
Asymptomatic
Acute
Intercritical
Chronic
 ASYMPTOMATIC
A- meaning without
indicates that there are
no symptoms associated
Patient will be unaware
of what is happening
Gout can only be
determined with the
help of a physician
 ACUTE
Sever and sudden onset
Involve one or a few
joints
Frequently starts
nocturnally
Joint is warm, red, and
tender
 INTERCRITICAL
More concentration of
uric acid crystals
Typically no need for
drug intervention at the
time.
CHRONIC
Continuous or persistent
over a long period of
time
Treatment required
Not easily or quickly
resolved
 SYMPTOMS

Joint pain
Affects one or more joints : hip, knee, ankle, foot, shoulder,
elbow,wrist, hand, or other joints
Great toe, ankle and knee are most common
Swelling of Joint
Stiffness
Warm and red
Possible fever
Skin lump which may drain chalky material
 Diagnosing Gout
X-rays
Arthrocentesis-
extraction of joint fluid
Examination of joint
Patient medical history
 TREATMENT
Colchicine- reduces pain, swelling, and inflammation;
pain subsides within 12 hrs and relief occurs after 48
hrs
Allopurinol- decreases the production of uric acid
Probenecid and sulfinpurazone- prevent absorption of
uric acid in the tubules of kidney
Reduce alcohol intake
Increase water intake
Watch diet for food rich in purines
 Disease of Kings
Rich foods have a higher concentration
of protein. This could cause major
problems for a person afflicted with
gout.

ORGAN MEATS
WILD GAME
SEAFOOD
LENTILS
PEAS
ASPARAGUS
YEAST
BEER
The end
 WORKS CITED
Kamienski, Mary. 2003. Health Source:
Nursing/Academic Edition. Gout: Not Just for
the Rich and Famous. Vol. 22, Issue 1
www.ask.com
www.acfas.org/brgoutft.html
www.nlm.nih.gov/medlineplus/ency/article000
424.htm