Difference between revisions of "IPLab:Lab 5:Gout"

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== Clinical Summary ==
 
== Clinical Summary ==
This patient was diagnosed with gout approximately 20 years ago. At that time, he noted the gradual onset of pain in the left knee, followed by swelling, redness and heat, all of which persisted for approximately one month. Shortly thereafter, he had periodic episodes of hot, painful, swollen joints involving the left knee, left ankle, and both first metatarsophalangeal joints. At this time the patient was hospitalized for evaluation of these arthritides. Serum uric acid values on three separate occasions were 8.0, 9.3, and 8.7 mg/dl. In addition to the presence of the painful swollen joints, a gouty tophus was present on the left arm. The patient was readmitted to the hospital from time to time because of acute exacerbations of gouty arthritis. On the most recent hospital admission, a 3-cm tophus was found over the right elbow, as well as several smaller tophi over the right hand.
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This patient was diagnosed with gout approximately 20 years ago. He has had numerous episodes of hot, painful, swollen joints involving the left knee, left ankle, and both first metatarsophalangeal joints. At the time of this admission the patient had increased serum uric acid values. In addition to his painful swollen joints, a gouty tophus was also present on the left arm. After remission of his acute gout flare-up the tophus was surgically removed.
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The surgical specimen consisted of an elliptically shaped, mottled, yellow-white irregular hard mass, measuring 8.0 x 5.0 x 2.0 cm. in diameter.
  
 
== Autopsy Findings ==
 
== Autopsy Findings ==

Revision as of 19:55, 8 July 2020

Clinical Summary[edit]

This patient was diagnosed with gout approximately 20 years ago. He has had numerous episodes of hot, painful, swollen joints involving the left knee, left ankle, and both first metatarsophalangeal joints. At the time of this admission the patient had increased serum uric acid values. In addition to his painful swollen joints, a gouty tophus was also present on the left arm. After remission of his acute gout flare-up the tophus was surgically removed.

The surgical specimen consisted of an elliptically shaped, mottled, yellow-white irregular hard mass, measuring 8.0 x 5.0 x 2.0 cm. in diameter.

Autopsy Findings[edit]

The specimen consisted of an elliptically shaped, mottled, yellow-white irregular hard mass, measuring 8.0 x 5.0 x 2.0 cm. in diameter.

Images[edit]

Virtual Microscopy[edit]

Study Questions[edit]


Additional Resources[edit]

Reference[edit]

Journal Articles[edit]

Images[edit]

Related IPLab Cases[edit]

A tophus is a chalky accumulation of urate crystals found in the tissue surrounding a joint.

The normal fibrinogen level is 184 to 412 mg/dL.

Renal failure is the severe reduction of renal function and often leads to reduced urinary output.