Complication of gout
A 86 years old man , significant medical history include gout 20 years, chronic kidney failure complainting with painful and discharge from his foot make him wake up at night. He self-treatment by traditional drug , sometime he injects novocain and penicillin to relieve pain :( which do you shoud for next step ?
1. Examine Diet 2. Prevent the habit of being self-medication 3. Encourage him into the habit of consuming medicine regularly 4. Plan a schedule to Ensure that the Doctors interact with the patients 5. Encourage the Doctors to speak to him during lunch while dining together 6. Have a mini celebration when the Doctors, Nurses and Patients are able to achieve results ☺️
What are those tophi? Shouldn't those be removed? And the continue him on regular medications for hyperuricemia
The patient was admitted orthopadic department and was removed infected tissue
