Gout and pseudogout | Muscular-skeletal diseases | NCLEX-RN | Khan Academy
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- เผยแพร่เมื่อ 14 พ.ค. 2015
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Gout attacks tend to occur in the cooler parts of the body, and in areas where there is relatively more trauma, so the foot is the most common location of gout attacks. While the classic example of gout is the great toe joint, but it is commonly seen in the heels, ankles, knees, and around joint capsule, tendons and other structures, too.
The mayo clinic has developed a test (2011) that doesn't require the needles. They developed it because the needle method wasn't reliable enough
Thanks
God Bless You my family
your voice is so soothing :)
💯
I woke up one morning 2:00 am with my big toe right foot all swollen and painful. Went to A&E and sat there until 6am . Finally I Was seen by a Doctor all she did was laugh at my big toe told me I had gout and prescribed tablets. Controlled future attacks by not eating offal and game.
Why does the precipitation happen on the big toe (1st Metatarsophalangeal)?
May I suggest mentioning the xanthine oxidase inhibitors in treatment of gout?
I agree
Thanks khan academy .if be possible put some CT,x-Ray or picture of some desiase during explanation it will be better.
Should at least mention xanthine oxidase inhibitors (febuxostat, allopurinol), urucosurics (probenecid), and microtubule inhibitors (colchicine) in gout treatment. Also more of the biochemistry/pathophysiology, some conditions associated with elevated uric acid (Lesch Nyhan, Von Gierke). It would be nice if KhanAcademy would invest just a little more in filling these videos out so they might be useful to med students reviewing for USMLE, for example. At this level they're not adequate for USMLE study, but it wouldn't take much more to get there.
Taurine(2grams in a can of "most" 16 oz energy drink) is bad for pseudo gout. Anybody else experience this?
I wonder how long it will be before the medical profession will catch up to the fact the eating sugar, especially fructose is a massive generator of uric acid? I iwsh I had known this years ago, it would have saved my a lot of suffering. "Nature wants is to be fat" Richard Johnson ,and "Drop Acid" David Perlmutter explain the Polyl pathway how uric acid is a direct by product of eating sweet stuff.
I'm a 3 time kidney transplant (current TX from 2000). I've just been diagnosed with cppd. My pharmacist and Dr's have said no dietary changes will help but I would think there had to be some kind of diet changes that could help. Do you have any suggestions?
I heard tomatoes, peppers and egg plants can trigger inflammation
Try increasing Vitamin D intake.
I have had a few flares of CPPD and have found that my hydration level is key to reducing flare ups, I have a bladder nerve issue that causes me to become dehydrated easily. My doc prescribed colchicine which significantly reduced the length of time the flare up occurred. I read some articles on the mayo clinic and other sites and they suggest that hydtration and injury are common triggers for attacks. They also suggest colchicine for prophylaxis. They said that low magnesium levels were common in patients. My plan is to get the doc to test my mag level and put me on a low dose of colchicine
@@SuperiorEtchworx I now know exactly what you said does help immensely if done consistently/daily.
So, water (over anything else), Magnesium (I take the Mag Glycinate as it doesn't affect my bowels as much as the others), and staying away from night shade vegetables, has helped a lot. Because I have such an advanced case they also ended up putting me on Hydroxychloroquin. It's an anti inflammatory that I can take that won't damage my kidney transplant.
May God bless and help your situation as well!!
The letters were too small to watch..great explanation though!
Watch it on your smart tv.
Thanks