6. Joint Disorders: Gout

0.0(0)
studied byStudied by 0 people
learnLearn
examPractice Test
spaced repetitionSpaced Repetition
heart puzzleMatch
flashcardsFlashcards
Card Sorting

1/7

encourage image

There's no tags or description

Looks like no tags are added yet.

Study Analytics
Name
Mastery
Learn
Test
Matching
Spaced

No study sessions yet.

8 Terms

1
New cards

Gout (Gouty Arthritis)

Metabolic arthritis from uric acid crystal buildup in joint.

2
New cards

Pathophysiology

Hyperuricemia → urate crystal in joints (often 1st MTP: metatarsophalangeal joints) → intense inflammation

3
New cards

Signs and Symptoms

  • Sudden, severe pain

  • Red, hot, swollen big toe

  • Tophi (chronic)

4
New cards

Risk Factors

  • Male

  • Alcohol (beer)

  • High-purine diet

  • Diuretics

  • CKD

5
New cards

Diagnostics

  1. Uric Acid : Elevated (> 7mg/dL)

  2. Joint Aspiration: Needle-shaped urate crystals

  3. X-ray : Punched-out lesions in chronic gout

  4. Creatinine/ BUN: To assess renal function

6
New cards

Nursing Management

  1. Elevate and rest joint

  2. Avoid Alcohol and purine-rich foods

  3. Encourage fluids (2-3L/day)

7
New cards

Pharmacologic Treatment

  1. Colchicine : Decrease inflammation in acute attacks

  2. NSAIDs : Pain and inflammation relief

  3. Corticosteroids: For patients intolerant to NSAIDs

  4. Allopurinol/ Febuxostat: Decrease uric acid production

  5. Probenecid: increase uric acid excretion.

8
New cards

Surgical Interventions

🔪 Tophaceous Gout Surgery (Tophi Excision)

  • Indication: Large, deforming tophi interfering with joint function or skin integrity

  • Purpose: Removes urate deposits (tophi)

  • Post-op: Continue urate-lowering therapy to prevent recurrence; wound care important