Pseudogout (normal serum uric acid levels but +crystals)
Trauma (elicited on history)
Osteoarthritis (chronic onset)
Rheumatoid arthritis (polyarticular, often symmetrical)
diagnosing gout - Answer✔✔-JOINT FLUID ASPIRATION- Gold standard for Diagnosis
-(AKA Arthrocentesis) Presence of intracellular monosodium urate crystals in synovial fluid
SERUM URIC ACID- elevated
-Commonly checked but NOT diagnostic of gout
-May be normal or even low during an active flare;
most gout patients will have elevations in between flares
-Therefore, best measured in between flares to monitor response to uric acid lowering/preventative
treatments
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