anne06
Forum Elite
Topics: 11
Posts: 103
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1.first step in apatient of gout?(red,warm,painful ankle)
2.what to do after confirming diagnosis?
3.diagnosis and treatment if patient returns after six months with red,warm painful knee swelling?
4.same patient has 4 documented episodes of gout despite limiting alcohol and diet...wats d next step?
5.patient is given allopurinol..300mg Dd...he is fine but has another attack after 2 years...wat do u do now??
 well people these are d kaplan rheumat qts...if someone has d ans please post them
and just do it,u rock
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| just do it
Forum Senior
Topics: 24
Posts: 139
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Answers to your questions:
1. Arthrocentesis.
2. NSAID'S (INDOMETHACIN 50 mg 3 times/ day)
3. Again, arthrocentesis--bcoz a different jt is affected and to rule out a deadly, septic jt. Rx: NSAID's & Life style modifications,..low-purine diet, alcohol limitation, avoiding drugs that ppt gouty attacks.
4. Now, pt. fits the criteria for chronic hypouricemic Rx---So, first, know if pt. is a undersecretor/overproducer, by doing 24-Hr urine uric acid levels.
5. Chronic colchicine prophylaxis (0.6 mg /day).
Plz, add on any corrections / info.
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