Gout: Difference between revisions

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The most common crystalopathy (in the US)  
The most common crystalopathy (in the US)  


Rarely seen in children (&lt; 10% of all cases) <ref name="Goodman, fuller" />&nbsp; <ref name="Goodman, Fuller" />
Rarely seen in children (&lt; 10% of all cases)&nbsp; <ref name="Goodman, Fuller" />  


Predominantly seen in men (most common inflammatory disease in men over age 30)  
Predominantly seen in men (most common inflammatory disease in men over age 30)  
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Peak incidence in the 4th - 5th decades of life  
Peak incidence in the 4th - 5th decades of life  


Frequency increases in postmenopausal women (lack of estrogen) <ref name="goodman, fuller" /> <ref name="goodman, snyder" />
Frequency increases in postmenopausal women (lack of estrogen) <ref name="Goodman, Fuller" /> <ref name="Goodman, Snyder" />


== Characteristics/Clinical Presentation  ==
== Characteristics/Clinical Presentation  ==

Revision as of 23:52, 15 February 2010

Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors - Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

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Definition/Description[edit | edit source]

Gout is a metabolic disorder; however, because the clinical presentation closely resembles arthritis, gout is also classified as a form of crystal-induced arthritis. [1]  [2]There are three main types of gout, all of which usually begin monoarticularly at the first metatarsophalangeal joint and are characterized by sudden pain, swelling, and redness.[1] [2] [3]    

Common presentation of gout at the first mtp joint.

[4]

Prevalence[edit | edit source]

Effects over 2 million people in the US

The most common crystalopathy (in the US)

Rarely seen in children (< 10% of all cases)  [1]

Predominantly seen in men (most common inflammatory disease in men over age 30)

Peak incidence in the 4th - 5th decades of life

Frequency increases in postmenopausal women (lack of estrogen) [1] [3]

Characteristics/Clinical Presentation[edit | edit source]

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Associated Co-morbidities[edit | edit source]

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Medications[edit | edit source]

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Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]

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Causes[edit | edit source]

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Systemic Involvement[edit | edit source]

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Medical Management (current best evidence)[edit | edit source]

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Physical Therapy Management (current best evidence)[edit | edit source]

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Alternative/Holistic Management (current best evidence)[edit | edit source]

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Differential Diagnosis[edit | edit source]

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Case Reports[edit | edit source]

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Resources
[edit | edit source]

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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

see adding references tutorial.

  1. 1.0 1.1 1.2 1.3 Goodman CC, Fuller KS. Pathology: Implications for the Physical Therapist. 3rd ed. Saint Louis, MO: Saunders; 2009.
  2. 2.0 2.1 Beers MH, et. al. eds. The Merck Manual of Diagnosis and Therapy. 18th ed. Whitehouse Station, NJ: Merck Research Laboratories; 2006.
  3. 3.0 3.1 Goodman C, Snyder T. Differential Diagnosis for Physical Therapists: Screening for Referral. St. Louis, Missouri: Saunders Elsevier, 2007.
  4. Brunilda, N. Gout Pictures Slideshow: Causes, Symptoms, and Treatments of Gout. 2008. http://arthritis.webmd.com/slideshow-gout. Accessed February 15, 2010.