tag:blogger.com,1999:blog-26641276897708892032024-09-05T00:51:04.306+01:00Lifelong Learning 101Medics - we can't know everything, all of the time, and we can't walk around with all our accrued knowledge, books, papers, guidelines, proformas etc. etc. So this website is an online resource of things I want to know, for access from any computer or smartphone.Unknownnoreply@blogger.comBlogger2125tag:blogger.com,1999:blog-2664127689770889203.post-78643443673361066592010-02-28T19:39:00.002+00:002010-02-28T20:02:36.060+00:00GoutGout is part of the hyperuricemia spectrum. It is a disorder of purine metabolism. Urate crystal deposition occurs in joints, soft tissues and renal tract; gouty arthritis is due to urate precipitation in joints. The most common joints affected are the first MTPJ (50-70% site of first presentation; podagra), other toes, ankles, knees and DIPJs. Polyarticular gouty arthritis is not uncommon (more Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-2664127689770889203.post-89616281391513570762010-02-28T16:34:00.001+00:002010-02-28T20:01:29.537+00:00Differentials: Monoarticular ArthritisAscertain inflammation (arthritis) is present by eliciting pain on joint motion.
Differentials:
1. Trauma
2. Gout - Recurrent attacks, rapid response, e.g. to colchicine, and tophi are clues, as well as favored sites such as 1st MTPJ (less common sites: ankles, knees, wrist, olecranon bursa)
3. OA - Monoarticular arthritis usually occurs as a flare-up of longstanding OA. Look for crepitus withinUnknownnoreply@blogger.com0