{"id":1119,"date":"2017-06-05T06:32:07","date_gmt":"2017-06-05T06:32:07","guid":{"rendered":"http:\/\/papergp.com\/index.php\/rheumatology-and-musculoskeletal\/gout\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"gout","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/rheumatology-and-musculoskeletal\/rheumatology\/gout\/","title":{"rendered":"Gout"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Data gathering<\/strong><\/h4>\n<ul>\n<li>Red flags &#8211; fever, nausea\/vomiting, kidney problems<\/li>\n<li>Others &#8211; diet, alcohol, medications, dehydration<\/li>\n<li>Examine &#8211; pulse, BP, BMI, feet<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; FBC, U+Es, HbA1c, lipids, uric acid (4 weeks after attack)<\/li>\n<\/ul>\n<\/li>\n<li>Explanation\n<ul>\n<li>Build-up of uric acid crystals in the joint<\/li>\n<\/ul>\n<\/li>\n<li>Treatment\n<ul>\n<li>Acute\n<ul>\n<li>RICE<\/li>\n<li>NSAIDs or Colchicine (500micrograms QDS max 3 days i.e. 6mg total course) or oral steroids<\/li>\n<\/ul>\n<\/li>\n<li>Prophylaxis\n<ul>\n<li>Lifestyle &#8211; reduce weight, reduce alcohol, hydration, gout diet (less red meat, liver, seafood)<\/li>\n<li>Allopurinol\n<ul>\n<li>if 2 attacks in one year or first if renal impairment\/tophi\/long term diuretics<\/li>\n<li>start at least 2 weeks after attack<\/li>\n<li>cover with NSAID<\/li>\n<li>titrate until uric acid &lt; 300<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Followup \/ Safety-net<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; fever, nausea\/vomiting, kidney problems Others &#8211; diet, alcohol, medications, dehydration Examine &#8211; pulse, BP, BMI, feet &nbsp; Clinical management Investigations Bloods &#8211; FBC, U+Es, HbA1c, lipids, uric acid (4 weeks after attack) Explanation Build-up of uric acid crystals in the joint Treatment Acute RICE NSAIDs or Colchicine (500micrograms QDS max &hellip; <a href=\"https:\/\/papergp.com\/index.php\/rheumatology-and-musculoskeletal\/rheumatology\/gout\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Gout<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2019,"menu_order":161,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1119","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1119","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=1119"}],"version-history":[{"count":3,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1119\/revisions"}],"predecessor-version":[{"id":1657,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1119\/revisions\/1657"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2019"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=1119"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}