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Tophaceous Gout (Examination (Extras
BMI: obesity
HTN
Drug chart:…
Tophaceous Gout
Examination
Extras
- BMI: obesity
- HTN
- Drug chart: thiazides, cytotoxics
- LNs: lymphoproliferative disorder
- CRF: renal replacement therapy
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Gouty tophi: joints, ears, tendons
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Viva
Hx
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Diet: beef, pork, lamb, seafood
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CV risk: smoking, lipids, BP, DM, FH
Cause
Urate excess
- Drugs
- Drinking EtOH
- Diet: purine rich foods
- Decreased excretion: CRF
- Death of cells: leukaemia, lymphoma, psoriasis
Ix
Bloods
- Lipids
- Glucose
- Urate levels
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