This patient's diagnosis is an acute gout flare, manifested as an extra-articular fluid collection and associated pain from iliopsoas irritation. ... Acute gout classically affects the first metatarsophalangeal joints as inflammatory arthritis, but other
There's really not much reason to get a serum urate when evaluating a patient who has acute arthritis, thinking that that will help you say it's gout or not ... gout.”. He outlined what he called a “1-drop” approach to evaluating synovial fluid for
On the clinical side, this issue includes a variety of case studies—a group Brief Case from Maine Medical Center along with an individual gout case from the section's deputy
Three of the GBCAs (Magnevist, Omniscan, and Optimark) will be described as inappropriate for use among patients with acute kidney injury or chronic severe kidney disease. ... Pegloticase (Krystexxa) to treat gout in adults who do not respond to or who
His gout is successfully treated with intra-articular corticosteroids, and low-dose colchicine therapy is initiated to prevent further gouty attacks. ... However, discontinuation of allopurinol is not indicated in the setting of acute gout.
Hospitalists who work on infusion units are particularly likely to encounter new therapies for rheumatoid arthritis and chronic gout. ... Li noted) are particularly likely to encounter new therapies for rheumatoid arthritis and chronic gout.
Febuxostat (Ulloric), a prescription drug for gout, in 40-mg and 80-mg doses.
Other clinical features include cervical lymphadenopathy and an oligoarticular or polyarticular inflammatory arthritis. ... Patients with HIV infection may develop severe variants of psoriasis and psoriatic arthritis.
Experts offer advice on managing the third leading cause of hospital-acquired acute renal failure. ... McCullough PA. Contrast-induced acute kidney injury. J Am Coll Cardiol. 2008;51:1419-28.
A safety trial found that patients with rheumatoid arthritis who received a 10-mg twice-daily dose of the drug had an increased occurrence of pulmonary embolism and death compared to ... The 10-mg twice-daily dosing regimen is FDA-approved for patients