16 results
Approach to Gout
Diagnosis: r/o septic arthritis! Needle-shaped, negative birefringent crystals
Treatment:
 • Weight loss, diet, d/c culprit
Approach to Gout ... • Chronic - Urate ... flares/year 2) Gouty ... NUIM_Chiefs #gout ... #diagnosis #management
Uric Acid Homeostasis
In the liver, purines are metabolized to uric acid. The last step in purine
animals, the enzyme uricase ... Uricase is not present ... The gout drug pegloticase ... #Homeostasis #Gout ... #Medications #Management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
and Management ... Monosodium urate ... predominance • Urate ... infection Serum Urate ... #diagnosis #management
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Pregnancy test rule out ... thromboembolic disease, breast ... endometrial path0100' or breast ... Uterine #Bleeding #Management
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
hyperkeratotic central areas ... #clinical #photo ... #NEJM #tinea #capitis
A quick infographic on various pearls about atopic dermatitis, a disease with an increasing burden on
risk factors, management ... #management #medications ... diagnosis #causes #atopy ... Breast-feeding and ... Role of the Gut
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
wet (dependent areas ... Hemorrhagic: bleeding out ... Classification #diagnosis #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
wet (dependent areas ... Hemorrhagic: bleeding out ... Classification #diagnosis #management
Gout - Management
Acute Gout Flare
 1) colchicine, NSAIDs, glucocorticoids
 2) Anakinra (IL-1 inhibitor)
When to Start Urate
Gout - Management ... Acute Gout Flare ... When to Start Urate ... or urolithiasis Urate ... #Management #treatment
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
diagnosis • Rule out ... radiographs of affected areas ... the collar bone, breast ... Rheumatology #diagnosis #management