Gout

Etiology

  • Precipitation of monosodium urate crystals in joint space

Risk Factors

  • Male, > 50, prior hx gout, etoh, hypertension, obesity, CKD
  • High purine foods→ fish, red meat, diuretics
  • Relatively common (~20/1000)

Symptoms

  • Acutely red, warm, painful joint
  • Typically one joint but can be polyarticular
  • Most common great toes and smaller joints; but can affect any
  • Can also have uric acid kidney stones--> acute flank pain, hematuria

Physical Exam Findings

  • Pain w/movement
  • Warmth and redness of affected joints
  • Rarely tophi if profound and persistent hyperuricemia

Tests

Links