Please enable JavaScript.
Coggle requires JavaScript to display documents.
Gout - Coggle Diagram
Gout
Assessment and Investigations
SOCRATES
Duration of attacks
Frequency of attacks
Impact on ADL's
MH
Assess for Tophi
Assess risk factors
Assess if other joints affected
Bloods
U&E
FBC
Urate 2/52 after onset
? X-Ray
Screen for cardiovascular disease
Risk Factors
Excess Alcohol
Obesity
Family History of gout, renal disease
Hypertension
Medication- ACE, beta-blockers, ciclosporin, diuretics, pyrazinamide, ritanovir, tacrolimus,
CCF/IHD
Dietary:
Purines- Red meat & Seafood.
Fructose- Sugary drinks
Renal disease
OA
Differential diagnosis
Septic Arthritis
Bursitis
OA
Trauma
RA
Haemachromatosis
Psoriatic arthritis
Management acute
Ice and elevation
Lifestyle advice
NSAID + PPI
Colchicine
Oral corticosteroids
Maintenance
Allipurinol
Febuxostat
Lifestyle advice