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ROJoson PEP Talk: GOUT ARTHRITIS

ROJoson PEP Talk: GOUT ARTHRITIS

ROJoson PEP Talk: GOUT ARTHRITIS

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GOUT
ARTHRITIS
September 16, 2023
1400H - 1500H
Via Zoom
Empowerment
objective - for
laypeople to have an
essential
understanding of
GOUT ARTHRITIS in
their health
management.
GOUT
ARTHRITIS
September 16, 2023
1400H - 1500H
Via Zoom
Empowerment
objective - for
laypeople to have an
essential
understanding of
GOUT ARTHRITIS in
their health
management.
Welcome all!
MUTE yourself but always
show your video picture.
Sign in your name, FB
account, or email address in
the Chat Box! Include names
of companions attending.
Use the Chat Box to ask
questions and make
comments while the PEP TALK
is on.
There will be group pictures
at start and end of PEP TALK –
show your face in video.
Reminder after the PEP
Talk:
Take the Online Learning
cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.
Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
GOUT
ARTHRITIS
Empowerment
objective - for
laypeople to have an
essential
understanding of
GOUT ARTHRITIS in
their health
management.
ROJOSON’S REQUEST:
FEEDBACK TO THIS
PEP TALK!
Pls. type in your
feedback in the chat
box during the open
forum and before we
adjourn!
Thank you!
GOUT
ARTHRITIS
Empowerment
objective - for
laypeople to have an
essential
understanding of
GOUT ARTHRITIS in
their health
management.
LET’S NOW HAVE A
GROUP PICTURE
TAKING BEFORE WE
START PEP TALK
PROPER IN 2
MINUTES!
Pls. turn on your
video!
Show your face!

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ROJoson PEP Talk: GOUT ARTHRITIS

  • 1. GOUT ARTHRITIS September 16, 2023 1400H - 1500H Via Zoom Empowerment objective - for laypeople to have an essential understanding of GOUT ARTHRITIS in their health management.
  • 2. GOUT ARTHRITIS September 16, 2023 1400H - 1500H Via Zoom Empowerment objective - for laypeople to have an essential understanding of GOUT ARTHRITIS in their health management. Welcome all! MUTE yourself but always show your video picture. Sign in your name, FB account, or email address in the Chat Box! Include names of companions attending. Use the Chat Box to ask questions and make comments while the PEP TALK is on. There will be group pictures at start and end of PEP TALK – show your face in video.
  • 3. Reminder after the PEP Talk: Take the Online Learning cum Evaluation Test Exercise (OLETE) for mastery of learning and have a perfect score to get a Certificate. Link is in Chat Box.
  • 4. Reminder: 50 OLETE Certificates = 1 Voucher for ROJoson Telemedical Consultation
  • 5. GOUT ARTHRITIS Empowerment objective - for laypeople to have an essential understanding of GOUT ARTHRITIS in their health management. ROJOSON’S REQUEST: FEEDBACK TO THIS PEP TALK! Pls. type in your feedback in the chat box during the open forum and before we adjourn! Thank you!
  • 6. GOUT ARTHRITIS Empowerment objective - for laypeople to have an essential understanding of GOUT ARTHRITIS in their health management. LET’S NOW HAVE A GROUP PICTURE TAKING BEFORE WE START PEP TALK PROPER IN 2 MINUTES! Pls. turn on your video! Show your face!
  • 7. GOUT ARTHRITIS Empowerment objective - for laypeople to have an essential understanding of GOUT ARTHRITIS in their health management. ROJoson PEP Talk I have a Patient Empowerment Program in which I like to empower the lay people or patients to take control in the management of their health.
  • 8. I started the PEP Talk on May 15, 2021. There are 3 courses in the PEP Talk. I completed the Core Course on October 9, 2021.
  • 9. From October 23, 2021 onwards, I have been tackling Health Disorder and Health Issue Courses. This may take 3 years or longer depending on our enthusiasm, discipline and perseverance.
  • 10. GOUT ARTHRITIS Empowerment objective - for laypeople to have an essential understanding of GOUT ARTHRITIS in their health management. My PEP TALK today is entitled: GOUT ARTHRITIS
  • 11. Contents • What is a GOUT? What is a GOUT ARTHRITIS? • What is the cause of GOUT ARTHRITIS? • What is hyperuricemia? What are the causes? • What are the side effects of hyperuricemia? • What are the risk factors for GOUT ARTHRITIS? • What are the modifiable causes of hyperuricemia that one can avoid to prevent GOUT ARTHRITIS? • What joints are usually affected by GOUT ARTHRITIS? • What are the phases / stages of GOUT ARTHRITIS? • When to suspect GOUT ARTHRITIS? How to differentiate from other ARTHRITIS? • What is the management of GOUT ARTHRITIS? • Is there a cure for arthritis (gout, osteo, rheumatoid)? Disclaimer: ROJoson PEP Talk contains ROJoson’s Thoughts, Perceptions, Opinions and Recommendations (TPORs) culled from experiences of other professionals and ROJoson. GOUT ARTHRITIS
  • 12. What is a GOUT? What is a GOUT ARTHRITIS? GOUT is a form of ARTHRITIS. GOUT ARTHRITIS is an ARTHRITIS caused by deposition of uric crystals on the joint. GOUT = GOUT ARTHRITIS ARTHRITIS is inflammation of a joint or several joints. Note: Not all ARTHRITIS are due to GOUT. There are other causes of ARTHRITIS such as osteoarthritis and rheumatoid arthritis. GOUT ARTHRITIS
  • 13. What is the cause of GOUT ARTHRITIS? GOUT ARTHRITIS is caused by too much uric acid in the blood (hyperuricemia) that leads to deposition of uric crystals in a joint or several joints causing inflammation. GOUT ARTHRITIS
  • 14. What is hyperuricemia? What are the causes? Hyperuricemia occurs when uric acid levels in the blood are too high. Uric acid is produced when the body breaks down a chemical called purine. Purine occurs naturally in your body, but it's also found in certain foods. Uric acid is eliminated from the body in the urine. If the kidneys are unable to clear out uric acid fast enough, there will be hyperuricemia. GOUT ARTHRITIS
  • 15. What is hyperuricemia? What are the causes? Hyperuricemia occurs when uric acid levels in the blood are too high. This elevated level is the result of • increased production • decreased excretion of uric acid • or a combination of both processes GOUT ARTHRITIS
  • 16. What is hyperuricemia? What are the causes? URATE OVERPRODUCTION • PURINE RICH DIET • AN ERROR OF PURINE METABOLISM: hypoxanthine phosphoribosyltransferase (HPRT) deficiency, phosphoribosylpyrophosphate (PRPP) synthetase over activity • CELL BREAKDOWN OR TURNOVER: lymphoproliferative diseases, myeloproliferative disease, polycythemia vera, Paget disease, psoriasis, tumor lysis, hemolysis, rhabdomyolysis, EXERCISE GOUT ARTHRITIS
  • 17. What is hyperuricemia? What are the causes? DECREASED URIC ACID EXCRETION ACUTE OR CHRONIC KIDNEY DISEASE, acidosis (lactic acidosis, ketoacidosis), hypovolemia, MEDICATION/TOXIN (DIURETIC, NIACIN, PYRAZINAMIDE, ETHAMBUTOL, CYCLOSPORIN, BERYLLIUM, SALICYLATES, LEAD, ALCOHOL), sarcoidosis, hyperparathyroidism, hypothyroidism, Bartter syndrome, Down syndrome GOUT ARTHRITIS
  • 18. What are the side effects of hyperuricemia? High uric acid levels in the bloodstream or hyperuricemia can cause • GOUT ARTHRITIS • KIDNEY STONES GOUT ARTHRITIS
  • 19. What are the risk factors for GOUT ARTHRITIS? • More common in MEN than in WOMEN. • WOMEN are more likely to get it after menopause. • Overweight • Alcohol • Family history of gout • Maintenance medicines such as diuretics (water pills) that help with high blood pressure • Metabolic syndrome such as high blood pressure, high cholesterol, diabetes, or heart disease GOUT ARTHRITIS
  • 20. What are the modifiable causes of hyperuricemia that one can avoid to prevent GOUT ARTHRITIS? • Overweight and obesity • Increase in consumption of • sugar-sweetened beverages • foods rich in purines • Alcohol GOUT ARTHRITIS
  • 21. What joints are usually affected by GOUT ARTHRITIS? Usually, big toe but may affect other joints like ankle, knee, hand, wrist, and elbow GOUT ARTHRITIS
  • 22. What are the phases / stages of GOUT ARTHRITIS? Gout progresses through four clinical phases: • asymptomatic hyperuricemia • acute gout arthritis • intercritical gout (intervals between acute attacks) • chronic tophaceous gout GOUT ARTHRITIS 00:00 Majority of people have asymptomatic hyperuricemia because of excessive purine-rich food intake.
  • 23. What are the phases / stages of GOUT ARTHRITIS? Gout progresses through four clinical phases: • asymptomatic hyperuricemia • acute gout arthritis • intercritical gout (intervals between acute attacks) • chronic tophaceous gout GOUT ARTHRITIS 00:00
  • 24. What are the phases / stages of GOUT ARTHRITIS? Gout progresses through four clinical phases: • asymptomatic hyperuricemia • acute gout arthritis • intercritical gout (intervals between acute attacks) • chronic tophaceous gout GOUT ARTHRITIS 00:00 TOPHI
  • 25. When to suspect GOUT ARTHRITIS? Doctors usually diagnose gout based on your symptoms and the appearance of the affected joint. Other confirmatory diagnostic tests may be needed. GOUT ARTHRITIS 00:00
  • 26. How to recognize and diagnose GOUT? Typical symptoms of GOUT ARTHRITIS (in acute attack): Sudden attacks of severe pain, often with redness and swelling around the joint, most commonly in the big toe. GOUT ARTHRITIS
  • 27. When to suspect GOUT ARTHRITIS? NOT all joint pains with swelling and inflammation are GOUT ARTHRITIS. One has to differentiate GOUT ARTHRITIS from two other common arthritis, OSTEOARTHRITIS and RHEUMATOID ARTHRITIS. GOUT ARTHRITIS 00:00
  • 28. When to suspect GOUT ARTHRITIS? NOT all joint pain, swelling and inflammation are GOUT ARTHRITIS. One has to differentiate GOUT ARTHRITIS from two other common arthritis, OSTEOARTHRITIS and RHEUMATOID ARTHRITIS. GOUT ARTHRITIS 00:00
  • 29. When to suspect GOUT ARTHRITIS? NOT all joint pain, swelling and inflammation are GOUT ARTHRITIS. One has to differentiate GOUT ARTHRITIS from two other common arthritis, OSTEOARTHRITIS and RHEUMATOID ARTHRITIS. GOUT ARTHRITIS 00:00
  • 30. When to suspect GOUT ARTHRITIS? How to differentiate from other ARTHRITIS? GOUT – usually big toes (with acute inflammation) and with GOUT FLARES. Presence of TOPHI (chalk-like substance). OSTEOARTHRITIS – usually with pain but not as intense and gradual as GOUT; morning stiffness and disappearing after movement; pain on movement; asymmetrical joint involvement. RHEUMATOID ARTHRITIS – symmetrical joint involvement (bilateral) GOUT ARTHRITIS 00:00
  • 31. When to suspect GOUT ARTHRITIS? How to differentiate from other ARTHRITIS? GOUT – usually big toes (with acute inflammation) and with GOUT FLARES. Presence of TOPHI. OSTEOARTHRITIS – usually with pain but not as intense and gradual; morning stiffness and disappearing after movement; pain on movement; asymmetrical joint involvement. RHEUMATOID ARTHRITIS – symmetrical joint involvement (bilateral) GOUT ARTHRITIS 00:00
  • 32. When to suspect GOUT ARTHRITIS? Confirmatory tests: • Joint fluid test to look for urate crystals. • Blood test to measure the levels of uric acid in your blood (Blood test results can be misleading, though. Some people have high uric acid levels, but never experience gout.) • X-ray imaging to rule out other causes of joint inflammation. • Ultrasound to detect urate crystals in joints or in tophi. GOUT ARTHRITIS 00:00
  • 33. What is the management of GOUT ARTHRITIS? • Acute attacks – pain medications (NSAIDs – Nonsteroidal anti-inflammatory drugs) • Intercritical period – medications to lower uric acid in blood (with implementation of strategies against modifiable factors of gout) • Chronic gout with tophi formation – watch and wait (with uric acid reduction measure) or surgery if needed. GOUT ARTHRITIS 00:00
  • 34. What is the management of GOUT ARTHRITIS? Prescription Medicines • NSAIDs (Non-steroidal Anti-inflammatory Drugs) reduces pain and inflammation. • Allopurinol reduces uric acid production. • Febuxostat reduces uric acid production. • Colchicine reduces inflammation. GOUT ARTHRITIS 00:00
  • 35. What is the management of GOUT ARTHRITIS? Surgery may at times be done for chronic gout with tophi. GOUT ARTHRITIS 00:00
  • 36. What is the management of GOUT ARTHRITIS? Foods to Avoid Stay away from these types of food: •Beer and grain liquors (like vodka and whiskey) •Red meat, lamb, and pork •Organ meats, such as liver, kidneys, and glandular meats like the thymus or pancreas •Seafood, especially shellfish like shrimp, lobster, mussels, anchovies, and sardines •High-fructose products like soda and some juices, cereal, ice cream, candy, and fast food GOUT ARTHRITIS 00:00
  • 37. What is the management of GOUT ARTHRITIS? Best Foods for a Gout Diet (low-purine diet options): •Low-fat and nondairy- fat products, such as yogurt and skim milk •Fresh fruits and vegetables •Nuts, peanut butter, and grains •Potatoes, rice, bread, and pasta •Eggs (in moderation) •Meats like fish, chicken, and red meat are fine in moderation GOUT ARTHRITIS 00:00
  • 38. What is the management of GOUT ARTHRITIS? Drinks in GOUT Do’s • Drink lots of fluids -- 8 to 16 cups a day. At least half should be water. Don’ts • Stay away from sugary drinks like soda and fruit juice. • Limit or avoid alcohol. GOUT ARTHRITIS 00:00
  • 39. Is there a cure for arthritis (gout, osteo, rheumatoid)? There is no cure for arthritis. The treatment goal is to limit pain and inflammation and preserve joint function. Treatment options include exercise, weight reduction, eat-in moderation especially purine- rich foods, medicines and surgery if needed. GOUT ARTHRITIS
  • 40. Be always in touch with reliable medical information on GOUT ARTHRITIS. Knowledge is power; it gives power. Use the 4Ks of Patient Empowerment: Kaalaman, Kakayanan, Karapatan and Kapangyarihan to gain greater control over decisions / make better decisions on GOUT ARTHRITIS in your health management. Take Away in relation to Patient Empowerment GOUT ARTHRITIS
  • 41. Contents • What is a GOUT? What is a GOUT ARTHRITIS? • What is the cause of GOUT ARTHRITIS? • What is hyperuricemia? What are the causes? • What are the side effects of hyperuricemia? • What are the risk factors for GOUT ARTHRITIS? • What are the modifiable causes of hyperuricemia that one can avoid to prevent GOUT ARTHRITIS? • What joints are usually affected by GOUT ARTHRITIS? • What are the phases / stages of GOUT ARTHRITIS? • When to suspect GOUT ARTHRITIS? How to differentiate from other ARTHRITIS? • What is the management of GOUT ARTHRITIS? • Is there a cure for arthritis (gout, osteo, rheumatoid)? Disclaimer: ROJoson PEP Talk contains ROJoson’s Thoughts, Perceptions, Opinions and Recommendations (TPORs) culled from experiences of other professionals and ROJoson. GOUT ARTHRITIS
  • 42. GOUT ARTHRITIS Empowerment objective - for laypeople to have an essential understanding of GOUT ARTHRITIS in their health management.
  • 43. Reminder after the PEP Talk: Take the Online Learning cum Evaluation Test Exercise (OLETE) for mastery of learning and have a perfect score to get a Certificate. Link is in Chat Box.
  • 44. Reminder: 50 OLETE Certificates = 1 Voucher for ROJoson Telemedical Consultation
  • 45. GOUT ARTHRITIS Empowerment objective - for laypeople to have an essential understanding of GOUT ARTHRITIS in their health management. ROJOSON’S REQUEST: FEEDBACK TO THIS PEP TALK! Pls. type in your feedback in the chat box during the open forum and before we adjourn! Thank you!
  • 46. GOUT ARTHRITIS Empowerment objective - for laypeople to have an essential understanding of GOUT ARTHRITIS in their health management. LET’S NOW HAVE A GROUP PICTURE TAKING BEFORE WE START Q&A AND INTERACTIONS! Pls. turn on your video! Show your face!