Acute Gout
Age: years old
Gender:
HISTORY:
Presents with a - history of
Location is on
Symptoms include:
, up to °, over
Worsening factors:
Alleviating factors: ,
Contributing factors:
no history of: , , , , ,
no use of: , , , , ,
no family history of:
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Musculoskeletal: joints ,
Foot: : on , range of motion
Skin: on
ASSESSMENT:
DDx: gout flare, pseudogout, hydroxyapatite periarthritis, septic arthritis, cellulitis, contusion, fracture, osteoarthritis, rheumatoid arthritis, bursitis, tendonitis, deep vein thrombosis, peripheral arterial disease, complex regional pain syndrome, sickle cell crisis, hemarthrosis
PLAN:
Investigations:
- Blood work: , , , ,
- Joint aspiration
- X-ray
Treatments:
-
-
-
- to start 4 weeks after resolution of acute attack
- Advise to start medication as soon as symptoms start
- Ice packs (advised that may worsen pain in some cases)
- Increase fluid intake
- Avoid high-purine foods, like red meat, shellfish, cheese, and corn syrup
- Avoid alcohol
Further care:
- Referral to rheumatologist
- Referral to dietician
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as fever, joint redness, or severe joint pain
HISTORY: EXAM: ASSESSMENT: PLAN: