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GOUT - Coggle Diagram
GOUT
Assessments & Investigations
assess risk factors
MH
Frequency of attacks
SOCRATES
Duration of attacks
Impact of ADL's
Assess if other joints affected
?Xray
Screen for cardiovascular disease
Bloods
Urate 2/52 after onset
FBC
U's & E's
Risk Factors
Dietary
Purines - red meat & seafood
Fructose - sugary drinks
Medication
ACE, beta-blockers, ciclosporin, diuretics, pryrazinamide, ritanovir, tacrolimus
Family history of gout or renal disease
Excess alcohol
Obesity
Hypertension
CCF/HD
Renal disease
OA
Differential diagnosis
Psoriatic arthritis
RA
OA
Septic arthritis
Bursitis
Trauma
Haemachromatosis
Management acute
Oral corticosteroids
NSAID + PPI
Ice & elevation
lifestyle advice
Colchicine
Maintenance
Lifestyle advice
Allipurinol
Febuxostat