Best Practice Case Studies-Gout

Video Transcription

Video Summary

The video discusses two medical cases related to crystal-induced joint conditions. The first case involves a 55-year-old male golfer with chondrocalcinosis, identified by calcium pyrophosphate crystals, which are rhomboid or rod-shaped with positive birefringence. The second case involves a 59-year-old female tennis player experiencing an acute ankle pain attack, confirmed as gout with needle-shaped monosodium urate crystals exhibiting negative birefringence. Allopurinol is not recommended as a first-line treatment during an acute gout attack; instead, colchicine, NSAIDs, ACTH, and corticosteroids are preferred. Ultrasound and x-ray support the diagnoses through characteristic findings.

Meta Tag

Edition 2nd Edition

Related Case 2nd Edition, CASE 45

Topic Rheumatology

Keywords

2nd Edition, CASE 45

2nd Edition

Rheumatology

crystal-induced joint conditions

chondrocalcinosis

gout

birefringence

treatment options