Gout is a type of arthritis caused by high levels of uric acid in the blood. It most commonly affects the big toe joint, causing sudden and severe pain. There are different types of gout including acute gout, chronic gout, and pseudogout. Risk factors include being overweight, drinking alcohol, eating red meat, and using diuretics. Treatment involves medications to reduce uric acid levels and prevent attacks, as well as lifestyle changes like losing weight, staying hydrated, and following a diet low in purines and high in fruits and vegetables.
Gout is caused by high levels of uric acid in the blood that form crystals in the joints, causing inflammation and pain. It was once thought to be a disease of kings due to its association with rich foods and alcohol. Symptoms include sudden, severe pain and swelling in joints like the big toe. Diagnosis involves testing blood and urine uric acid levels and examining joint fluid. Treatment focuses on relieving pain and reducing uric acid through medications like NSAIDs, colchicine, corticosteroids, allopurinol, and febuxostat. Lifestyle changes around diet, weight, and alcohol intake can help prevent future gout attacks.
Gout is caused by deposits of sodium urate crystals in joints and tissues. It can be primary, due to a hereditary purine metabolism disorder, or secondary to drugs or other conditions that inhibit uric acid excretion. The document discusses the incidence, risk factors, pathophysiology, clinical manifestations, complications, diagnosis, and collaborative care of gout including treatments for acute attacks and chronic management. Tests like serum uric acid levels and synovial fluid analysis are used to monitor therapy for this metabolic disorder characterized by hyperuricemia and acute or chronic arthritis.
Gout is a metabolic disorder caused by hyperuricemia, or high levels of uric acid in the blood. It most commonly affects middle-aged men and causes sudden, severe pain and inflammation in joints like the big toe. Acute gout occurs when uric acid crystals form in a joint, while chronic gout results in long-term joint damage. Treatment involves medications like NSAIDs, colchicine, corticosteroids, and allopurinol to reduce pain and prevent further attacks by lowering uric acid levels. Lifestyle changes like diet modification and exercise can also help prevent gout flares.
This document discusses gout, a metabolic disease characterized by recurrent attacks of acute inflammatory arthritis caused by elevated uric acid levels in the blood. It defines gout and discusses its pathogenesis, stages, risk factors, clinical features, differential diagnosis, investigations, and treatment. The document outlines that gout results from uric acid crystallizing and depositing in joints due to either overproduction or under excretion of uric acid. It can be diagnosed through testing of synovial fluid, blood, or urine and is treated with medications, diet modification, exercise, and surgery if needed.
Gout is a medical condition characterized by recurrent attacks of acute inflammatory arthritis, usually in the joints of the big toe. It is caused by high levels of uric acid in the blood which form needle-like crystals that accumulate in the joints, tendons and surrounding tissue, causing pain, inflammation and swelling. Symptoms include severe joint pain, redness and swelling of the affected area. Treatment focuses on reducing uric acid levels through lifestyle changes like diet modification and medications.
Gout is caused by high levels of uric acid in the bloodstream, which results in painful inflammation in joints like the big toe. It is more common in men and can be caused by diet, obesity, kidney problems, or other medical conditions. The most reliable way to diagnose gout is through microscopic examination of joint fluid to check for uric acid crystals or high uric acid levels in blood tests. Treatment focuses on reducing uric acid through medication and lifestyle changes.
Gout is a type of arthritis caused by high levels of uric acid in the blood. It most commonly affects the big toe joint, causing sudden and severe pain. There are different types of gout including acute gout, chronic gout, and pseudogout. Risk factors include being overweight, drinking alcohol, eating red meat, and using diuretics. Treatment involves medications to reduce uric acid levels and prevent attacks, as well as lifestyle changes like losing weight, staying hydrated, and following a diet low in purines and high in fruits and vegetables.
Gout is caused by high levels of uric acid in the blood that form crystals in the joints, causing inflammation and pain. It was once thought to be a disease of kings due to its association with rich foods and alcohol. Symptoms include sudden, severe pain and swelling in joints like the big toe. Diagnosis involves testing blood and urine uric acid levels and examining joint fluid. Treatment focuses on relieving pain and reducing uric acid through medications like NSAIDs, colchicine, corticosteroids, allopurinol, and febuxostat. Lifestyle changes around diet, weight, and alcohol intake can help prevent future gout attacks.
Gout is caused by deposits of sodium urate crystals in joints and tissues. It can be primary, due to a hereditary purine metabolism disorder, or secondary to drugs or other conditions that inhibit uric acid excretion. The document discusses the incidence, risk factors, pathophysiology, clinical manifestations, complications, diagnosis, and collaborative care of gout including treatments for acute attacks and chronic management. Tests like serum uric acid levels and synovial fluid analysis are used to monitor therapy for this metabolic disorder characterized by hyperuricemia and acute or chronic arthritis.
Gout is a metabolic disorder caused by hyperuricemia, or high levels of uric acid in the blood. It most commonly affects middle-aged men and causes sudden, severe pain and inflammation in joints like the big toe. Acute gout occurs when uric acid crystals form in a joint, while chronic gout results in long-term joint damage. Treatment involves medications like NSAIDs, colchicine, corticosteroids, and allopurinol to reduce pain and prevent further attacks by lowering uric acid levels. Lifestyle changes like diet modification and exercise can also help prevent gout flares.
This document discusses gout, a metabolic disease characterized by recurrent attacks of acute inflammatory arthritis caused by elevated uric acid levels in the blood. It defines gout and discusses its pathogenesis, stages, risk factors, clinical features, differential diagnosis, investigations, and treatment. The document outlines that gout results from uric acid crystallizing and depositing in joints due to either overproduction or under excretion of uric acid. It can be diagnosed through testing of synovial fluid, blood, or urine and is treated with medications, diet modification, exercise, and surgery if needed.
Gout is a medical condition characterized by recurrent attacks of acute inflammatory arthritis, usually in the joints of the big toe. It is caused by high levels of uric acid in the blood which form needle-like crystals that accumulate in the joints, tendons and surrounding tissue, causing pain, inflammation and swelling. Symptoms include severe joint pain, redness and swelling of the affected area. Treatment focuses on reducing uric acid levels through lifestyle changes like diet modification and medications.
Gout is caused by high levels of uric acid in the bloodstream, which results in painful inflammation in joints like the big toe. It is more common in men and can be caused by diet, obesity, kidney problems, or other medical conditions. The most reliable way to diagnose gout is through microscopic examination of joint fluid to check for uric acid crystals or high uric acid levels in blood tests. Treatment focuses on reducing uric acid through medication and lifestyle changes.
Gouty Arthritis/Gout is a type of crystal arthropathy characterized by recurrent attacks of acute arthritis.
Pathophysiology, clinical features, investigations, treatments modalities and complications
This document provides an overview of gout, including defining it as a medical condition characterized by recurrent attacks of acute inflammatory arthritis. Key points discussed include the signs and symptoms of pain, swelling and redness in affected joints; causes such as high uric acid levels in the blood which can be due to genetics, diet or medications; risk factors and complications; diagnosis through tests of synovial fluid, blood and x-rays; management through medications, diet changes and nursing care focused on pain management, mobility and anxiety reduction.
Here are the key points I would suggest to the aircrew:
- Lose weight through diet and exercise to achieve a healthy BMI, as obesity is a risk factor for hyperuricemia and gout.
- Limit alcohol intake, especially beer which is strongly associated with hyperuricemia.
- Follow a low-purine diet by reducing intake of organ meats, red meat, seafood etc. which are high in purines.
- Stay well hydrated by drinking plenty of water as uric acid is more soluble in urine produced in larger volumes.
- Start on allopurinol 100mg once daily which is a xanthine oxidase inhibitor to lower uric acid production
Gout is a metabolic disease characterized by recurrent attacks of inflammatory arthritis caused by elevated levels of uric acid in the blood. It is classified as acute or chronic gout. Risk factors include age, sex, lifestyle, medical conditions, and family history. Treatment involves drugs that inhibit uric acid synthesis like allopurinol, increase uric acid excretion like probenecid, reduce inflammation like NSAIDs, and control symptoms like colchicine. Diet, exercise, medication adherence and surgery are also used to manage gout.
Gout is a crystal deposition disease caused by monosodium urate crystals in the joints and tissues due to hyperuricemia. It ranges from asymptomatic hyperuricemia to acute gouty arthritis with severe pain, to chronic tophaceous gout with joint damage. Diagnosis involves identifying urate crystals in synovial fluid or tophi. Treatment goals include rapid relief of acute flares, prevention of future flares, and reducing uric acid levels long-term through lifestyle changes and urate-lowering therapy such as allopurinol.
Gout is caused by hyperuricaemia (high uric acid levels) which can result in the deposition of urate crystals in the joints, causing inflammation. It predominantly affects males and risk factors include obesity, diets high in purines, alcohol consumption, and certain medications. Acute gout usually presents as sudden, severe pain in the first metatarsophalangeal joint. Treatment involves nonsteroidal anti-inflammatories and medications like allopurinol to reduce uric acid levels. Chronic, untreated gout can lead to tophaceous deposits and joint damage. Pseudogout is another type of crystal arthropathy seen in elderly women that involves calcium pyrophosphate crystal deposition.
The document discusses gout, a type of arthritis caused by uric acid crystals in the joints. It defines gout, lists its symptoms such as sudden severe pain in joints like the big toe, and describes its typical progression from asymptomatic to acute attacks to a chronic condition if left untreated. Risk factors include being male, obesity, diet high in purines, and certain medications. Diagnosis involves examining synovial fluid for uric acid crystals. Treatment focuses on relieving acute attacks, preventing future attacks by reducing uric acid levels in the blood long-term through medications and diet changes, and managing chronic complications through continued medical care.
Gout is a clinical disease caused by the deposition of monosodium urate crystals in tissues, which can cause acute gouty arthritis, tophaceous gout, gouty nephropathy, or uric acid stones. The aims of gout treatment are to improve outcomes by suppressing flares, eliminating gout permanently, resolving tophi, and managing comorbidities. First-line treatment for hyperuricemia involves xanthine oxidase inhibitors or uricosuric agents to lower uric acid levels. Diuretics can cause hyperuricemia and gout by increasing urate reabsorption, and treatment may involve changing medications or adding allopurinol.
Gout is caused by deposition of uric acid crystals in the joints, which leads to acute inflammation. It typically presents as sudden severe pain, swelling and redness in one joint, most commonly the big toe. Diagnosis is made based on symptoms and identification of crystals in joint fluid under polarized microscopy. Treatment involves medications to reduce symptoms during acute attacks as well as long-term drugs like allopurinol or probenecid to lower uric acid levels and prevent future episodes. Without treatment, gout can progress to a chronic stage with multiple joint involvement and growth of tophi deposits in the tissues.
The document provides biographical information about Dr. Manoj R. Kandoi, the author of the book "The Basics of Arthritis". It states that Dr. Kandoi founded the Institute of Arthritis Care & Prevention non-profit organization focused on arthritis patient education and support. He has published several papers on arthritis and written the book to guide arthritis patients and healthcare professionals. Contact information for Dr. Kandoi and the Institute is provided.
Gout is a recurrent inflammatory disorder caused by high uric acid levels in the blood (hyperuricemia) which can lead to severe joint pain. Drugs like NSAIDs, glucocorticoids, and colchicine are used to treat acute gout attacks by relieving symptoms. Allopurinol and probenecid are commonly used to manage hyperuricemia long-term by reducing uric acid production or increasing its excretion. Nurses play an important role in properly administering these drugs and educating patients on lifestyle factors that affect gout.
This document provides an overview of gout, including its definition, history, epidemiology, pathogenesis, clinical manifestations, and risk factors. Some key points:
- Gout is caused by deposition of monosodium urate crystals in the joints and tissues due to hyperuricemia. It most commonly presents as acute inflammatory arthritis, often in the big toe.
- Risk factors include age, gender, genetics, obesity, hypertension, kidney disease, alcohol consumption, and certain medications.
- Acute gout typically presents as sudden severe pain, swelling, and inflammation in one joint, usually at night. Between acute flares is an asymptomatic intercritical period.
- Chronic gout can lead to
Gout is caused by high levels of uric acid in the blood that lead to painful inflammation in joints. It occurs when uric acid crystals deposit in joints, especially those in the big toe. Risk factors include diet high in purines, obesity, kidney disease, genetics, and certain medications. Symptoms range from joint pain and swelling to tophi formation and arthritis. Treatment focuses on lifestyle changes like diet modification and medication to reduce uric acid levels and relieve pain.
This document discusses hyperuricemia, which is a high level of uric acid in the blood. It covers the following key points:
- Causes of hyperuricemia include overproduction of uric acid, underexcretion by the kidneys, or a combination of the two. Various medical conditions and medications can also cause hyperuricemia.
- Clinical presentations of hyperuricemia include gout (painful arthritis), uric acid kidney stones, and nephropathy. Gout typically starts as acute attacks of pain and swelling in joints like the big toe. Without treatment, gout can progress to chronic arthritis and tophi (hard lumps) under the skin.
Dr. Ashutosh Kumar presented on gout. Gout is a disorder caused by excess uric acid in the body that leads to painful inflammation in joints. It ranges from asymptomatic hyperuricemia to acute gout attacks to chronic gout with tophi formation. Diagnosis involves examining crystals in joint fluid or tophi. Treatment goals are to rapidly resolve flares, prevent future flares, reduce inflammation, and lower uric acid levels long-term to prevent progression. Medications include NSAIDs, colchicine, corticosteroids for flares and allopurinol or febuxostat for urate-lowering. Lifestyle changes like diet modification and weight control can also help manage the
Gout is a type of arthritis caused by high levels of uric acid in the blood. It most commonly affects the big toe joint. Gout occurs when uric acid crystallizes and the crystals deposit in joints, tendons and surrounding tissues. Long-term untreated gout can lead to chronic arthritis and joint damage. Gout is diagnosed through blood tests to measure uric acid levels and examination of joint fluid under a microscope to detect urate crystals. Treatment involves medications to reduce uric acid levels and relieve pain and inflammation. Lifestyle changes like diet modification and exercise are also important for managing gout.
Gout is a crystal-induced inflammatory arthritis caused by hyperuricaemia and the deposition of urate crystals in the joints. It typically affects middle-aged males and presents as sudden, severe pain in the first metatarsophalangeal joint. Investigations include joint fluid analysis to identify urate crystals and serum urate testing. Management involves NSAIDs, colchicine, or steroids for acute flares and allopurinol or febuxostat to reduce urate levels long-term and prevent future flares.
Pathophysiology and clinical management of gouty arthritisSoujanya Pharm.D
Gout is the most common inflammatory joint disorder caused by deposition of urate crystals in joints. It affects around 1-2% of adults and is more common in men. Risk factors include genetics, diet high in purines, alcohol, obesity, and medications. Gout progresses through acute inflammatory attacks, intercritical periods, and chronic tophaceous stages if urate levels remain elevated. Treatment involves NSAIDs to rapidly alleviate acute attacks and urate-lowering drugs like allopurinol or febuxostat long-term to prevent future attacks and reduce urate levels. Lifestyle modifications and diet control are also important for gout management.
Gout is a form of arthritis caused by high levels of uric acid in the blood (hyperuricemia) which can form crystals that deposit in joints, causing sudden and severe pain. It occurs more commonly in males and risk increases with age, obesity, diet high in purines, alcohol consumption, medical conditions like diabetes, and certain medications. An acute gout attack causes intense pain, inflammation, and redness in joints like the big toe. Long term management involves medications, dietary changes, and lifestyle modifications to prevent recurrent attacks.
This document discusses hyperuricemia and gout. It defines hyperuricemia as an elevated level of uric acid in the blood. It then covers the etiology, epidemiology, diagnosis, risk factors, complications, prevention and treatment of both hyperuricemia and gout. Gout is described as a form of inflammatory arthritis that results from excess uric acid in the blood, causing sudden, severe pain and swelling in the joints. Common treatments include NSAIDs, colchicine, steroids, and allopurinol or febuxostat to reduce uric acid levels.
Gouty Arthritis/Gout is a type of crystal arthropathy characterized by recurrent attacks of acute arthritis.
Pathophysiology, clinical features, investigations, treatments modalities and complications
This document provides an overview of gout, including defining it as a medical condition characterized by recurrent attacks of acute inflammatory arthritis. Key points discussed include the signs and symptoms of pain, swelling and redness in affected joints; causes such as high uric acid levels in the blood which can be due to genetics, diet or medications; risk factors and complications; diagnosis through tests of synovial fluid, blood and x-rays; management through medications, diet changes and nursing care focused on pain management, mobility and anxiety reduction.
Here are the key points I would suggest to the aircrew:
- Lose weight through diet and exercise to achieve a healthy BMI, as obesity is a risk factor for hyperuricemia and gout.
- Limit alcohol intake, especially beer which is strongly associated with hyperuricemia.
- Follow a low-purine diet by reducing intake of organ meats, red meat, seafood etc. which are high in purines.
- Stay well hydrated by drinking plenty of water as uric acid is more soluble in urine produced in larger volumes.
- Start on allopurinol 100mg once daily which is a xanthine oxidase inhibitor to lower uric acid production
Gout is a metabolic disease characterized by recurrent attacks of inflammatory arthritis caused by elevated levels of uric acid in the blood. It is classified as acute or chronic gout. Risk factors include age, sex, lifestyle, medical conditions, and family history. Treatment involves drugs that inhibit uric acid synthesis like allopurinol, increase uric acid excretion like probenecid, reduce inflammation like NSAIDs, and control symptoms like colchicine. Diet, exercise, medication adherence and surgery are also used to manage gout.
Gout is a crystal deposition disease caused by monosodium urate crystals in the joints and tissues due to hyperuricemia. It ranges from asymptomatic hyperuricemia to acute gouty arthritis with severe pain, to chronic tophaceous gout with joint damage. Diagnosis involves identifying urate crystals in synovial fluid or tophi. Treatment goals include rapid relief of acute flares, prevention of future flares, and reducing uric acid levels long-term through lifestyle changes and urate-lowering therapy such as allopurinol.
Gout is caused by hyperuricaemia (high uric acid levels) which can result in the deposition of urate crystals in the joints, causing inflammation. It predominantly affects males and risk factors include obesity, diets high in purines, alcohol consumption, and certain medications. Acute gout usually presents as sudden, severe pain in the first metatarsophalangeal joint. Treatment involves nonsteroidal anti-inflammatories and medications like allopurinol to reduce uric acid levels. Chronic, untreated gout can lead to tophaceous deposits and joint damage. Pseudogout is another type of crystal arthropathy seen in elderly women that involves calcium pyrophosphate crystal deposition.
The document discusses gout, a type of arthritis caused by uric acid crystals in the joints. It defines gout, lists its symptoms such as sudden severe pain in joints like the big toe, and describes its typical progression from asymptomatic to acute attacks to a chronic condition if left untreated. Risk factors include being male, obesity, diet high in purines, and certain medications. Diagnosis involves examining synovial fluid for uric acid crystals. Treatment focuses on relieving acute attacks, preventing future attacks by reducing uric acid levels in the blood long-term through medications and diet changes, and managing chronic complications through continued medical care.
Gout is a clinical disease caused by the deposition of monosodium urate crystals in tissues, which can cause acute gouty arthritis, tophaceous gout, gouty nephropathy, or uric acid stones. The aims of gout treatment are to improve outcomes by suppressing flares, eliminating gout permanently, resolving tophi, and managing comorbidities. First-line treatment for hyperuricemia involves xanthine oxidase inhibitors or uricosuric agents to lower uric acid levels. Diuretics can cause hyperuricemia and gout by increasing urate reabsorption, and treatment may involve changing medications or adding allopurinol.
Gout is caused by deposition of uric acid crystals in the joints, which leads to acute inflammation. It typically presents as sudden severe pain, swelling and redness in one joint, most commonly the big toe. Diagnosis is made based on symptoms and identification of crystals in joint fluid under polarized microscopy. Treatment involves medications to reduce symptoms during acute attacks as well as long-term drugs like allopurinol or probenecid to lower uric acid levels and prevent future episodes. Without treatment, gout can progress to a chronic stage with multiple joint involvement and growth of tophi deposits in the tissues.
The document provides biographical information about Dr. Manoj R. Kandoi, the author of the book "The Basics of Arthritis". It states that Dr. Kandoi founded the Institute of Arthritis Care & Prevention non-profit organization focused on arthritis patient education and support. He has published several papers on arthritis and written the book to guide arthritis patients and healthcare professionals. Contact information for Dr. Kandoi and the Institute is provided.
Gout is a recurrent inflammatory disorder caused by high uric acid levels in the blood (hyperuricemia) which can lead to severe joint pain. Drugs like NSAIDs, glucocorticoids, and colchicine are used to treat acute gout attacks by relieving symptoms. Allopurinol and probenecid are commonly used to manage hyperuricemia long-term by reducing uric acid production or increasing its excretion. Nurses play an important role in properly administering these drugs and educating patients on lifestyle factors that affect gout.
This document provides an overview of gout, including its definition, history, epidemiology, pathogenesis, clinical manifestations, and risk factors. Some key points:
- Gout is caused by deposition of monosodium urate crystals in the joints and tissues due to hyperuricemia. It most commonly presents as acute inflammatory arthritis, often in the big toe.
- Risk factors include age, gender, genetics, obesity, hypertension, kidney disease, alcohol consumption, and certain medications.
- Acute gout typically presents as sudden severe pain, swelling, and inflammation in one joint, usually at night. Between acute flares is an asymptomatic intercritical period.
- Chronic gout can lead to
Gout is caused by high levels of uric acid in the blood that lead to painful inflammation in joints. It occurs when uric acid crystals deposit in joints, especially those in the big toe. Risk factors include diet high in purines, obesity, kidney disease, genetics, and certain medications. Symptoms range from joint pain and swelling to tophi formation and arthritis. Treatment focuses on lifestyle changes like diet modification and medication to reduce uric acid levels and relieve pain.
This document discusses hyperuricemia, which is a high level of uric acid in the blood. It covers the following key points:
- Causes of hyperuricemia include overproduction of uric acid, underexcretion by the kidneys, or a combination of the two. Various medical conditions and medications can also cause hyperuricemia.
- Clinical presentations of hyperuricemia include gout (painful arthritis), uric acid kidney stones, and nephropathy. Gout typically starts as acute attacks of pain and swelling in joints like the big toe. Without treatment, gout can progress to chronic arthritis and tophi (hard lumps) under the skin.
Dr. Ashutosh Kumar presented on gout. Gout is a disorder caused by excess uric acid in the body that leads to painful inflammation in joints. It ranges from asymptomatic hyperuricemia to acute gout attacks to chronic gout with tophi formation. Diagnosis involves examining crystals in joint fluid or tophi. Treatment goals are to rapidly resolve flares, prevent future flares, reduce inflammation, and lower uric acid levels long-term to prevent progression. Medications include NSAIDs, colchicine, corticosteroids for flares and allopurinol or febuxostat for urate-lowering. Lifestyle changes like diet modification and weight control can also help manage the
Gout is a type of arthritis caused by high levels of uric acid in the blood. It most commonly affects the big toe joint. Gout occurs when uric acid crystallizes and the crystals deposit in joints, tendons and surrounding tissues. Long-term untreated gout can lead to chronic arthritis and joint damage. Gout is diagnosed through blood tests to measure uric acid levels and examination of joint fluid under a microscope to detect urate crystals. Treatment involves medications to reduce uric acid levels and relieve pain and inflammation. Lifestyle changes like diet modification and exercise are also important for managing gout.
Gout is a crystal-induced inflammatory arthritis caused by hyperuricaemia and the deposition of urate crystals in the joints. It typically affects middle-aged males and presents as sudden, severe pain in the first metatarsophalangeal joint. Investigations include joint fluid analysis to identify urate crystals and serum urate testing. Management involves NSAIDs, colchicine, or steroids for acute flares and allopurinol or febuxostat to reduce urate levels long-term and prevent future flares.
Pathophysiology and clinical management of gouty arthritisSoujanya Pharm.D
Gout is the most common inflammatory joint disorder caused by deposition of urate crystals in joints. It affects around 1-2% of adults and is more common in men. Risk factors include genetics, diet high in purines, alcohol, obesity, and medications. Gout progresses through acute inflammatory attacks, intercritical periods, and chronic tophaceous stages if urate levels remain elevated. Treatment involves NSAIDs to rapidly alleviate acute attacks and urate-lowering drugs like allopurinol or febuxostat long-term to prevent future attacks and reduce urate levels. Lifestyle modifications and diet control are also important for gout management.
Gout is a form of arthritis caused by high levels of uric acid in the blood (hyperuricemia) which can form crystals that deposit in joints, causing sudden and severe pain. It occurs more commonly in males and risk increases with age, obesity, diet high in purines, alcohol consumption, medical conditions like diabetes, and certain medications. An acute gout attack causes intense pain, inflammation, and redness in joints like the big toe. Long term management involves medications, dietary changes, and lifestyle modifications to prevent recurrent attacks.
This document discusses hyperuricemia and gout. It defines hyperuricemia as an elevated level of uric acid in the blood. It then covers the etiology, epidemiology, diagnosis, risk factors, complications, prevention and treatment of both hyperuricemia and gout. Gout is described as a form of inflammatory arthritis that results from excess uric acid in the blood, causing sudden, severe pain and swelling in the joints. Common treatments include NSAIDs, colchicine, steroids, and allopurinol or febuxostat to reduce uric acid levels.
Gout is caused by elevated levels of uric acid in the blood which can crystallize and deposit in the joints, causing inflammation and pain. It is usually characterized by recurrent attacks of inflammatory arthritis in the joint at the base of the big toe. Treatment involves medications like NSAIDs to reduce inflammation during acute attacks and allopurinol or probenecid for long-term prevention by lowering uric acid levels through inhibition of uric acid synthesis or reabsorption. Lifestyle changes and a diet low in purine-rich foods can also help prevent gout attacks.
NSAIDs are used to treat pain, fever, and inflammation. They work by blocking cyclooxygenase and lipoxygenase pathways, which inhibits the formation of prostaglandins and reduces inflammation. Common NSAIDs include aspirin, ibuprofen, and naproxen. While effective, they can cause side effects like gastric irritation, bleeding risks, and kidney issues. Gout is a type of arthritis caused by uric acid crystals in the joints. It is treated by addressing acute attacks with NSAIDs and colchicine while also managing uric acid levels long-term with drugs like allopurinol to prevent future attacks.
Gout is a type of arthritis characterized by sudden, severe attacks of pain and inflammation in joints, often affecting the joint at the base of the big toe. It occurs when urate crystals accumulate in joints, causing inflammation. Risk factors include lifestyle choices, certain medical conditions, family history, and age. Treatment involves medications to treat acute attacks and prevent future attacks and complications like recurrent gout, advanced gout, or kidney stones. Lifestyle changes like maintaining hydration and a balanced diet can also help prevent gout.
This is a short presentation on gout and gouty arthritis. This also gives a brief idea about the causes of gout, its clinical features and investigations. This also provides basic information regarding management and prevention of gout and its associated complications
Dr.A.Mohan krishna
Consultant orthopedic surgeon
Apollo hospitals,
Hyderabad
Appointments: 9247258989
9441184590
www.drmohankrishna.com
www.bonesandjointsclinic.com
www.healthyjointclub.com
Gout is a type of arthritis caused by a buildup of uric acid crystals in the joints. It occurs when uric acid builds up in the blood and causes joint inflammation. Risk factors include age, sex, family history, certain medical conditions, dietary and lifestyle habits such as excessive alcohol consumption and being overweight. Diagnosis involves medical history, physical exam, and tests to measure uric acid levels in the blood and urine. Treatment includes medications to reduce uric acid levels like colchicine, allopurinol, and probenecid. Surgical removal of urate crystals may be required in severe cases. Nursing care focuses on pain management, maintaining activity levels, and monitoring for hyperthermia and other
This document provides information on systemic lupus erythematosus (SLE). It defines SLE as a chronic inflammatory autoimmune disease that can affect many parts of the body. The causes are unclear but may involve genetics, infections, and hormones. Symptoms can include a butterfly-shaped rash, arthritis, kidney problems, seizures, and fatigue. Diagnosis involves blood tests and examinations. Treatment focuses on reducing symptoms using medications like NSAIDs, antimalarials, steroids, and immunosuppressants. Nursing care educates on managing symptoms and complications like infections.
Gout is an inflammatory arthritis caused by high uric acid levels in the blood (hyperuricemia) which leads to the deposition of urate crystals in the joints. It ranges from mild asymptomatic hyperuricemia to severe chronic tophaceous gout. Risk factors include family history, diet high in purines, obesity, alcohol use, and certain medications. Treatment involves lifestyle changes, medications to reduce uric acid production like allopurinol, or increase excretion like probenecid. Nonsteroidal anti-inflammatory drugs and corticosteroids are used for acute flares while long term management focuses on normalization of uric acid levels.
Gouty arthritis is a systemic disease caused by deposition of uric acid crystals in the joints and tissues. It is caused by either a disorder of purine metabolism (primary gout) or excessive uric acid in the blood due to other conditions like leukemia (secondary gout). Symptoms include severe pain in joints like the big toe, swelling, inflammation, tophi deposits, and fever. Diagnosis involves examining joint fluid under microscopy for uric acid crystals or measuring uric acid levels in blood and urine. Treatment focuses on relieving acute attacks with medications like colchicine or NSAIDs and managing hyperuricemia long-term with uricosuric agents or allopurinol. Nursing care includes dietary
Gout is a painful inflammatory arthritis caused by high levels of uric acid in the blood. It typically affects the joints of the feet, especially the big toe. Risk factors include excessive purine intake, family history, obesity, certain medications, age, and recent surgery or trauma. Symptoms include acute joint pain, tenderness, fever, skin tophi, inflammation, and limited range of motion. Diagnosis involves blood tests, joint fluid analysis, x-rays, and CT scans. Treatment focuses on pain relief, reducing uric acid production and improving its removal through medications, diet changes, exercise, and weight loss.
Jaundice is a yellow discoloration caused by increased bilirubin in the blood, which is a sign of liver disease or damage. It can be caused by hepatocellular issues within the liver, hemolytic anemia where red blood cells are destroyed too quickly, or obstructive issues where the bile duct is blocked. Symptoms include yellow skin and eyes, light stool, dark urine, itching, and nausea. Diagnosis involves blood and imaging tests to determine the cause and severity. Treatment depends on the underlying condition but may include medications, fluids, blood transfusions, or procedures to clear the bile duct. Lifestyle changes like eating fruits and vegetables and avoiding risk factors can help prevent jaundice.
Gout Presentation. - Adult Health NursingpptxAnandh Perera
This document provides information about gout, including its definition, causes, risk factors, symptoms, diagnostic tests, treatment options, nursing care, and health education recommendations. Gout is a form of arthritis caused by a buildup of uric acid crystals in the joints. It is usually treated through medications that reduce uric acid levels like allopurinol, colchicine, or corticosteroids. Nursing care focuses on relieving pain, maintaining activity levels, and preventing hyperthermia. Lifestyle changes such as diet modification and exercise can also help manage the condition.
Gout is a form of arthritis caused by high levels of uric acid in the bloodstream. It most commonly affects the big toe joint, causing sudden and severe pain. Gout is caused by an excess production or impaired excretion of uric acid by the kidneys. Uric acid crystallizes and forms needle-like deposits in the joints, triggering inflammation and pain. Treatment involves medications to reduce uric acid levels, relieve pain and inflammation during gout attacks, and prevent future attacks and joint damage from long-term gout. Lifestyle changes like diet modification and exercise can also help lower uric acid levels and prevent gout complications.
Gout is a type of inflammatory arthritis caused by uric acid crystals building up in the joints due to high levels of uric acid in the blood. It most commonly affects the big toe, causing sudden and severe pain. Risk factors include genetics, age, alcohol consumption, diet high in purines, medications, and other medical conditions like diabetes. Diagnosis involves testing uric acid levels in blood and synovial fluid analysis. Treatment focuses on pain relief during flares and lowering uric acid levels long-term through medications and lifestyle changes like diet modification and exercise. Without proper management, gout can progress to chronic arthritis and kidney complications.
Gout is a hereditary condition caused by high levels of uric acid in the blood, which can crystallize and deposit in joints and tissues, causing inflammation and pain. Diagnosis involves testing the levels of uric acid in the blood and fluid from affected joints. Treatment focuses on lifestyle changes to reduce uric acid production, and medications like NSAIDs, colchicine, and uricosuric agents to relieve pain and prevent future attacks. Nursing care centers on pain management, education, and ensuring patient adherence to the treatment regimen.
RENAL NUTRITION AND DIALYSIS.pptx nutrional biochemistryabubakerjalal2020
1) The document discusses renal nutrition and dialysis, outlining what kidneys do, types of kidney disorders including acute kidney injury and chronic kidney disease, and medical and nutritional management of kidney disease including dialysis.
2) It describes acute kidney injury as a sudden reduction in kidney function over 2 days or less and chronic kidney disease as a slow, progressive decline in kidney function.
3) Nutritional management of kidney disease focuses on restricting protein, sodium, potassium, phosphorus and fluid based on kidney function and dialysis status while ensuring adequate calorie and nutrient intake.
This document provides information on various autoimmune diseases, including their symptoms and treatments. Some of the diseases discussed include Hashimoto's thyroiditis, primary myxedema, thyrotoxicosis, pernicious anemia, autoimmune atrophic gastritis, Addison's disease, premature menopause, insulin dependent diabetes mellitus, stiff-man syndrome, Goodpasture's syndrome, and myasthenia gravis. For each disease, the document outlines the associated symptoms and common treatment methods.
The two adrenal glands produce three main types of hormones: glucocorticoids, mineralocorticoids, and androgens. Cushing's syndrome occurs when there is excessive production of adrenal cortex hormones due to tumors, medications, or other causes. It leads to increased blood glucose, high blood pressure, weight gain, and other issues. Addison's disease is the opposite condition caused by inadequate adrenal hormone production due to issues like autoimmune destruction. It results in low blood pressure, low blood glucose, increased skin pigmentation, and other problems. Both conditions require lifelong hormone replacement therapy and management of complications like infections and adrenal crises.
This document discusses water analysis methods for measuring dissolved oxygen, biochemical oxygen demand (BOD), and chemical oxygen demand (COD) as part of an ecology lab course at the Asian University for Women. The instructor is Syed Mohammad Lokman and a YouTube video is provided as a supplementary resource.
This document discusses various measurements for analyzing water quality:
- TS is total solids, TSS is total suspended solids, TDS is total dissolved solids, VSS is volatile suspended solids, and FSS is fixed suspended solids.
- TSS measures cloudiness/turbidity and high levels can reduce sunlight penetration and plant/algal growth. TDS includes dissolved minerals and salts, and is related to conductivity, salinity, alkalinity and hardness.
- High TSS can indicate pollution while high TDS may signal fertile waters, though most freshwater life cannot tolerate very high TDS levels due to salinity.
This document provides instructions for a soil analysis lab. Students will analyze various physical properties of soil, including texture, moisture content, pH, and water holding capacity. The lab covers the components and structure of soil profiles. Students will use a soil texture triangle to classify soil samples based on percentages of sand, silt and clay. They will also measure moisture content by weighing soil samples before and after drying, test pH using indicator paper or solutions, and determine water holding capacity by measuring water retained in a soil sample. The goal is for students to understand key physical properties and their importance for soil function.
This series of predictable changes that occurs in a community over time is called ecological succession.In another words, Ecological succession is the change in species composition over time; that is, the replacement of one group of species by another group of species. There are two major types of ecological succession: primary succession and secondary succession. In primary succession, a site that is initially absent of species becomes colonized for the very first time. In secondary succession, a site that supports an existing assemblage of species experiences a disturbance that changes the composition of species. Both types of succession can occur in terrestrial and aquatic ecosystems. The first species to arrive and colonize the newly formed habitat are pioneer species. These early colonizers contribute nutrients to the soil through organic matter accumulation from decomposition. Some early successional plant species can fix atmospheric nitrogen and thereby increase nitrogen availability in the soil for other plants. As soil nutrients increase over succession it allows for the colonization of previously nutrient-limited species that were unable to establish initially. This facilitates the turnover in species composition over time. In terrestrial ecosystems, this compositional shift corresponds to a change in life forms and distinct species assemblages transitioning from small herbaceous plants, to shrubs, and ultimately to stands of trees over the course of succession. Secondary succession in terrestrial ecosystems can initiate after fire, tornadoes/ hurricanes, or humans disturb an already established plant community, removing most species but leaving the soil intact. The disturbance changes exposure of the habitat to sunlight, wind, and water that alters colonization and the assemblage trajectory of the new plant community. Some plant species may arrive to the disturbed site from
This document outlines the syllabus for an Ecology Lab course taught by Syed Mohammad Lokman at Asian University for Women. The course meets on Thursdays from 1:40-4:30pm in room H200. The learning outcomes include developing skills in collecting and analyzing ecological data, scientific writing, and teamwork. Students will be evaluated based on attendance, quizzes, lab reports, and a final assessment. The course will cover topics through labs and field trips over 14 weeks.
This document outlines procedures for analyzing various properties of soil samples, including:
1. Texture - by allowing soil particles to settle in water and measuring thickness of sand, silt, and clay layers
2. Moisture content - by weighing soil samples before and after oven drying to calculate water percentage
3. pH - by making a soil solution, filtering it, and testing the filtrate's pH using indicator paper or universal indicator solution
4. Water holding capacity - by measuring water retained in a filter paper containing soil after adding a known volume of water
The document outlines laboratory safety rules for students taking the BIOL/ENVS 3003: ECOLOGY (Lab) course. Key rules include: do not eat, drink, smoke or taste anything in the lab; tie back long hair and roll up loose sleeves if using open flames; assume all chemicals are poisonous and read labels; clean up spills immediately and know the location of safety equipment; and wash hands and return all equipment before leaving the lab. Students are responsible for equipment and must report any injuries or issues to the instructor.
This document provides instructions for students to conduct labs on estimating plant and animal population densities using various methods. For the plant population lab, students will use a quadrat method to sample plant populations and calculate density and frequency. They will record data on number of individuals and presence/absence in quadrats for multiple species. For the animal population lab, students will use a mark-recapture technique to estimate population size of objects like beans by capturing, marking, and recapturing samples. They will record data to calculate a scientific estimate and percent error compared to the actual population.
Ecological succession is the process of change in the species structure of a community over time. It occurs through primary succession on new surfaces like lava flows, and secondary succession after disturbances in previously colonized areas. Pioneer species are the first to colonize new habitats, contributing nutrients to soils through decomposition. Over time, the community develops towards a climax community adapted to the local climate and geography, which will persist until disrupted by disturbances.
This document outlines a lab on predator-prey interactions using the Lotka-Volterra equations. The objectives are to understand predator-prey dynamics and how populations of each affect the other over time. The Lotka-Volterra equations model this relationship between changing predator and prey populations. Several simplifying assumptions are made, including predators relying solely on one prey species and prey having unlimited resources other than the predator. Students will use an online model to simulate predator-prey cycles over time.
This lab experiment studied the effects of intraspecific and interspecific competition between plant species. Students planted seeds of two species, Chinese cabbage and water spinach, at different densities to represent varying competition levels. They measured the height, weight, survival, and survival rate of the plantings over several weeks. Their results would help determine whether competition increased in more crowded pots and which species was more impacted by interspecific competition. The experiment aimed to understand how competition influences plant growth and survival.
The document describes a predator-prey simulation where wolves were introduced to an island with an overpopulated deer population of 2000. Over the period of 1971 to 1980, the deer population fluctuated as the wolf population increased and then stabilized. By 1980, the deer population decreased to around 1000 as the wolf population leveled off at around 10, maintaining a balance between the predator and prey populations on the island.
This document provides an overview of natural selection analysis and methods for measuring natural selection through analyzing DNA sequences. It discusses three main types of natural selection - positive selection which favors beneficial mutations, negative selection which removes detrimental mutations, and balancing selection which maintains genetic variation. It then focuses on explaining the dN/dS ratio test, one of the most widely used methods for detecting natural selection. The dN/dS ratio compares the rate of non-synonymous substitutions that change the protein sequence to the rate of synonymous substitutions that do not change the protein sequence. Different dN/dS ratios can indicate if a sequence is experiencing neutral evolution, negative selection, or positive selection.
This document provides instructions for students to conduct basic BLAST searches using unknown DNA sequences as queries to identify homologous sequences and determine the identity of the unknown sequences. It describes how to analyze the BLAST results, including the descriptions, alignments and significance values. Students are guided to find homologs of a known sequence on GenBank and explore the BLAST results, alignments and formatting options.
This document appears to be notes from a bioinformatics lab course. It discusses lab assignment #6 on performing local sequence alignment. The instructor's name is Syed Mohammad Lokman and it is for the course BINF 2000: Introduction to Bioinformatics at Asian University for Women. The document provides information on local alignment methodology and includes an exercise on performing a local sequence alignment.
This document provides instructions for a lab exercise on protein analysis using various bioinformatics databases and tools. It includes steps to retrieve protein sequences from UniProtKB and protein structures from RCSB PDB for specified proteins. It also describes using the MolStar viewer to view protein structures and the Swiss-Model tool to build homology models for proteins based on their sequences. Students are asked to complete exercises retrieving sequence and structure data and generating models for several human proteins to analyze and visualize.
This document provides instructions for performing phylogenetic analyses using MEGA software to infer evolutionary relationships between nucleotide sequences. It describes using distance-based and character-based methods, including neighbor-joining and maximum likelihood, to build phylogenetic trees. The document emphasizes playing with multiple methods and parameters to generate the strongest phylogenetic analysis and appreciate that these are not simple cut-and-paste bioinformatics approaches.
This document discusses phylogenetic tree construction for sequences A, B, and C using distance-based methods. It provides the sequences for A, B, and C, represents their evolutionary relationships using Newick format as (((A, B), C), D), and outlines the MEGA 11 protocol for converting alignment files, selecting tree construction methods, configuring bootstrapping, and computing the tree. The document was produced for a bioinformatics lab at Asian University for Women.
This document provides instructions for a lab analyzing natural selection on the HrpZ gene from several strains of Pseudomonas syringae using the SLAC method. Students are asked to download an aligned sequence file, upload it to the Datamonkey webserver, analyze the results including exporting the table and graph, and answer questions about which amino acid positions show evidence of positive and negative selection.
This document is from a lab manual for an introduction to bioinformatics course. It discusses lab exercise #5 on sequence alignment. The instructor's name is Syed Mohammad Lokman and it is for a class at Asian University for Women. The document includes diagrams explaining the concepts of matches, mismatches, and gaps in global sequence alignment.
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
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PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfRahul Sen
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
2. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
FEATURES GOUT RHEUMATOID ARTHRITIS OSTEOARTHRITIS
NATURE Metabolic Disease Inflammatory Disease Degenerative Disease
CAUSE Deposition of uric acid Abnormality in immunity Aging of the joint
MORNING
STIFFNESS
NA 1 Hour 15 Minutes
PAIN Mild Extreme Mild
Gout is a form of inflammatory arthritis characterized by recurrent attacked of a red,
tender, hot and swollen joint caused by defective metabolism of uric acid. Pain
typically comes on rapidly in less than twelve hours.
GOUT - THE DISEASE OF KINGs
4. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
GOUT
Based on Cause
Primary
Enzyme defects
Secondary
Increased nucleic acid
turnover
Chronic renal disease.
Based on Severity
Acute
Warmth, pain, swelling,
reddish discoloration in a
joints
Bed sheet touching the
toe causes severe pain
Chronic
Urate crystals may
appear
Occurs kidney stones
5. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
Impairment
ofUricAcid
Transpor-
tationin
Renal
Proximal
Tube
Uric acid enters through
OAT1, OAT3, OAT2,
OAT4, URAT1 and
SLC2A9v2 transporters.
Uric acid releases
through SLC2A9v1,
ABCC4, NPT4 and NPT1
transporters.
6. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
Over
Production
ofUric
Aciddue
todefectin
Enzyme
7. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
Synovial fluid testing from the joint to looking for uric acid crystals.
Blood test to measure the level of uric acid in blood.
Test for white blood cell count and erythrocytocis sedimentation rate
(ESR) as both may be elevated due to gout in the absence of infection.
Asking question to patient about the symptoms.
8. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
Medication:
Medications that reduce serum uric acid level like “allopurinol”
that blocks uric acid production, and can be used in people with
renal impairment or urate stones.
“Pegloticase” is administrated as an intravenous infusion which
reduces uric acid level.
“Probencid” may be used if under secretion of uric acid is
present.
Others:
Taking anti-inflammatory medicine for better feeling.
Resting of the joint that hurts.
Don’t taking “aspirine” as it increases the uric acid level in the
blood.
9. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
Controlling of
body weight.
Consumption of
coffee, Vit-C and
dairy products.
Maintain physical
fitness
Reducing intake
of purine rich
foods
Limit daily intake
of meat, seafood
and alcohol.
Drink plenty of
water and other
fluids.
10. INTRO SYMPTOMS TYPES CAUSES DIAGNOSIS TREATMENT PREVENTON PREVALENCE THANKS
Ref: 1. Kuo et al, Global epidemiology of gout, Nature Reviews Rheumatology 11, 649-662(2015)
2. Statistics by Country for Gout, Right Diagnosis, rightdiagnosis.com/g/gout/stats-country.htm
>10% in
Oceanian Countries
>2% in
North America
>1.3% in
Europe
>0.2% in
Bangladesh
Rare in
undeveloped countries
3.90%
2.90%
0.00%
1.00%
2.00%
3.00%
4.00%
5.00%
2007-08 1988-94
GOUT IN USA (ADULTS)
Male vs Female
Male Female