Acute gouty arthritis treatment pearls

NSAIDs, if contraindications then topical still great for single joint Colchicine (1.8mg a day) at a low dose, can be used chronically. Remember SEs (sepsis, home marrow suppression. Mostly D&V) Steroids

Arthrocentesis: Reasons to tap that joint…

  Indications: fluid for analysis – infection – crystals… drain tense haemarthroses – trauma – hemophilia (only after factor replacement) – evaluate communication with a wound – instillation of analgesics (remember you can inject morphine in a joint) or anti-inflammatory agents Contraindications (pretty much all relative): cellulitis over the joint coagulopathy (but with small needle, […]

Emergency Medicine Kenya Foundation

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