MEDizzy
MEDizzy
DR.MOHAMMED IRFAN SHEIKH
DR.MOHAMMED IRFAN SHEIKHabout 1 year ago
Untreated Chronic Gout

Untreated Chronic Gout

A 65-year-old man with gout and chronic kidney disease presented to the dermatology clinic with a 5-year history of joint pain and swelling in his hands, feet, and knees. During these 5 years, he had intermittently received medical therapy for gout and had had associated periods of transient improvement; however, he did not consistently receive long-term medications, and his arthritis progressed. On physical examination, he had multiple tophi and deformities in the joints of his hands (Panel A), feet, and knees. He was referred to the rheumatology clinic for further evaluation and treatment. Laboratory studies showed a serum urate level of 9.6 mg per deciliter (570 μmol per liter; reference range, 3.5 to 7.0 mg per deciliter [210 to 420 μmol per liter]) and a serum creatinine level of 1.8 mg per deciliter (160 μmol per liter; reference range, 0.7 to 1.2 mg per deciliter [60 to 110 μmol per liter]). Arthrocentesis of the first metatarsophalangeal joint of his right foot yielded a viscous, white exudate; numerous monosodium urate crystals were visible under polarized light microscopy (Panel B). Urate-lowering therapy was initiated. At 10 months of follow-up, the patient’s joint pain and swelling had abated markedly.

13
Other commentsSign in to post comments. You don't have an account? Sign up now!
about 1 year ago

چه درماني براش گذاشتي استاد؟ و اينكه گرافي هر دو دست داري ازش؟

about 1 year ago

لم أفهم ما قلته🤔

Related posts
Parts of Spine VIChest X-ray AnatomyNeimann picks diseaseSymptoms of neimann pick diseaseThe 29th World Congress on Nutrition and Food Sciences, held on September 15-16, 2025, in Amsterdam, Netherlands, was a landmark event in the fields of nutrition and food sciences. This congress gathered leading experts, researchers, policymakers, and practitioners from across the globe, providing a vibrant platform for the exchange of ground breaking research, innovative ideas, and best practices in nutrition and food science. With a focus on tackling contemporary challenges in health and nutrition, the congress covered a wide range of topics, from the latest advancements in nutritional science to strategies for promoting sustainable food systems and preventing chronic diseases. Attendees engaged in thought-provoking discussions, participated in interactive workshops, and had ample opportunities to network with peers across diverse disciplines. Theme: Nutrition for a Resilient World: Advances, Challenges and OpportunitiesKolkata's Best Medicine Wholesalers Jaiswal Pharma At Jaiswal Pharma, we take pride in our unwavering commitment to quality. Our extensive range of products includes both prescription and over-the-counter medications, ensuring you receive only the finest pharmaceutical products. Our diverse inventory is designed to meet the needs of various healthcare professionals, pharmacies, and medical organizations. Whether you require medication for a common ailment or treatment for a rare condition, we have you covered. We understand the importance of affordability in healthcare. Jaiswal Pharma offers competitive prices, ensuring you get the best value for your money. For those in Kolkata seeking reliable pharmaceutical products, we are your top choice. 𝐕𝐢𝐬𝐢𝐭 𝐨𝐮𝐫 𝐜𝐨𝐦𝐩𝐚𝐧𝐲 𝐰𝐞𝐛𝐬𝐢𝐭𝐞 𝐭𝐨 𝐤𝐧𝐨𝐰 𝐦𝐨𝐫𝐞 www.jaiswalpharma.comWhat is a cracked tooth?
Anatomy of pituitary glandChronic suppurative osteomyelitis.

Recent MCQs















Show more MCQs

Recent flashcard sets















Show more flashcards