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CRYSTAL ARTHROPATHIES, GOUT (uric acid (chemo/radiation (cell lysis tumour…
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GOUT
uric acid
from:
- shellfish
- anchiove
- red meat
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drugs:
- thiazides
- aspirin
- cytotoxics
- warfarin
- pyrazinamide
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MANAGEMENT
ACUTE
- NSAIDs
- colchicine - not IV as risking bone marrow suppression
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CHRONIC
1. allopurinol
- febuxostat
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PSEUDOGOUT
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different from gout?
- slower onset
- less painful
- larger joints
- :heavy_plus_sign: birefringent crystals in polarised light
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