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Gout
Gout is a disease caused by increase levels of rate (Hyperuricemia),…
Gout
Gout is a disease caused by increase levels of rate (Hyperuricemia), it can result in the effects of arthritis, chronic arthritis, and tophi
Risk factors
kidney stones- high levels of urate in the blood (hyperuricemia) leads to urate crystals which can travel throughout the body and accumulate in the kidneys causing kidney stones to form.
With urate crystals traveling through out the body they can attach to joints causing issues with arthritis. At times people will experience flare ups.
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Causative factors
A nongenetic causative factors is diet. Consuming foods and beverages that contain high molecules of purines such as red meat, sea food, dried beans, alcohol, and sugar-sweetened beverages can cause an increase in urate.
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Age is another causative factor particularly in women after menopause.
Production of estrogen assists in removing urate for the body, as women age and produce less estrogen it allows urate levels to increase.
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Common findings
Population of people with gout have one of the following medical disease
Hypertension
Chronic kidney diseae
Obesity
diabetes
heart disease
history of stroke
diagnostic test
Synovial fluid test - synovial fluid is a liquid found in your body's joints, this test looks for urate crystals in the joint fluid. This is the most accurate test for diagnosing gout.
Anesthesia may be used during this testing, the provider when then use a larger needle to pull fluid from the affected joint.
Uric acid blood test- A blood test to check the level of uric acid in the body
A uric acid level between 3.5 and 7.2 milligrams per deciliter (mg/dl) is consider normal for most people
When diagnosed with gout it is recommended that uric acid levels stay below 6.0 mg/dl
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Uric acid urine test- A urine test can check levels of uric acid in the body.
A uric acid level in the urine between 250 and 750mg is consider normal.
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tophi- as gout conditions exacerbate urate crystals start to to deposit into soft tissue forming a nodule called tophus. common areas are the hands, feet and elbows. This can cause inflammations, and interferes with movement depending on their location.
