2020 American College of Rheumatology Guideline for the Management of Gout

Acute Gouty Arthritis

Gout Imaging

39yo male with multiple joint pains. Diagnosis?

Elderly male with foot pain. Diagnosis?

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, […]