Gout is an inflammatory arthritis related to a hyperuricemia (serum uric acid [SUA] level >6.8 mg/dL) (1).
Acute gouty arthritis can affect ≥1 joint; the 1st metatarsophalangeal jo...
Classic presentation of acute gouty arthritis:
Intense pain and tenderness in the 1st metatarsophalangeal joint (podagra)
Can occur in the midtarsal, ankle, or knee joints
Joint may be...
Acute gouty arthritis attacks should be treated with pharmacologic therapy (5)[C].
SUA q2–5wk while titrating urate-lowering treatment to goal (1)[C]
Regularly monitor CBC, renal function, liver function test, and urinalysis.
M10.9 Gout, unspecified
M10.00 Idiopathic gout, unspecified site
M10.30 Gout due to renal impairment, unspecified site
M1A.30X0 Chronic gout due to renal impairment, unsp site, w/o tophus
MSU crystals found in synovial fluid aspirate are pathognomonic for gout.
Pharmacologic treatment should begin within 24 hours of acute gout flare.
Asymptomatic hyperuricemia does not re...
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