Crystal Arthropathies Flashcards Preview

MSK- Rheumatology > Crystal Arthropathies > Flashcards

Flashcards in Crystal Arthropathies Deck (19)
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1
Q

How do you treat psuedogout?

A

NSAIDs

Colchicine

Steroids

Rehydration

2
Q

Who gets CPPD?

A

Elderly

3
Q

When is the best time to measure serum urate in gout?

A

2 weeks folowing an acute attack

4
Q

How should you start prophylaxis of gout?

A

start 2-4 weeks after an attack

Low dose and titrate up

5
Q

What is another name for pseudogout?

A

Calcium pyrophosphate dihydrate deposistion disease

CPPD

6
Q

What shape are the crystals in gout?

A

Needles

7
Q

How do you diagnose gout?

A

Needle aspiration of urate crystals

(not hyperuricemia alone)

8
Q

What is the usual onset and duration of gout?

A

Rapid onset

Lasts up to two weeks

9
Q

What lifestyle modificatios should a patient with gout make?

A

Restric red meat, organs , beans and shellfish

Reduced alcohol especially red wine

Lose weight and drink plenty of fluids ( avoid fructose)

10
Q

What perciptates gout?

A

Acute changes in level of uric acid

11
Q

What crystals are found in gout?

A

Monosodium urate crystals

12
Q

When would you consider prophylaxis for gout?

A

More than two attacks

Tophi

Erosions on xray

Renal stones

13
Q

What is the target serum urate in prophylaxis of gout?

A

less than 0.30mmol/L

14
Q

What shape are the crystals in psuedogout?

A

Rhomboid

15
Q

What medication is used as a prophylaxis of gout?

A

Allopurinol

Febuxostat

16
Q

What crystals are found in pseudogout ?

A

Calcium pyrophosphate dihydrate

17
Q

How do you manage an acute attack of Gout?

A

NSAIDs

Colchicine

Corticosteroids

18
Q

What are the two main crystal arthropathies?

A

Gout

Pseudogout

19
Q

What is hyperuricaemia?

A

High serum uric acid

>7mg/dL

> 0.42 mmolL