This document outlines an upcoming zoom presentation on Gout Arthritis hosted by Dr. ROJoson. The presentation will provide laypeople with an essential understanding of Gout Arthritis to help manage their health. It will cover topics like the causes of Gout Arthritis, risk factors, signs and symptoms, diagnostic tests, treatment options and lifestyle modifications. Attendees are encouraged to participate through the chat box by asking questions and providing feedback. Completing an online test after can earn participants a certificate.
This document provides information about a zoom presentation on gout arthritis. The presentation aims to give laypeople an essential understanding of gout arthritis and its management. It will cover topics such as the causes of gout arthritis, risk factors, affected joints, stages of gout arthritis, diagnosis, and treatment options. Attendees are asked to provide feedback and can obtain a certificate for completing a post-presentation test.
The document discusses a patient empowerment program (PEP) talk on goiter awareness. It provides definitions of goiter and discusses the different types of goiter classified by clinical presentation and disease categories. It describes the common causes of goiter and how to recognize different types. It also outlines the usual diagnostic tests, treatments, and post-treatment management for various goiter types. The talk aims to provide laypeople with a basic understanding of thyroid goiter for their health management.
Gout is the most common form of arthritis in adult men, and affects one in 40 of the adult population. It can occur at any age, although it rarely affects children.
It is a long-term, chronic condition that, if not properly managed, can affect you for your whole lifetime.
In order to manage your gout correctly, it is very important to understand why it develops, how treatments work and the correct way to take the medication prescribed by your doctor.
This information presentation was delivered by Prof. Geraldine McCarthy, consultant rheumatologist, Mater Hospital, Dublin on 20 November 2017.
Hyperparathyroidism(HPT) V/S Hyperthyroidism - a brief medical study.martinshaji
This document provides information on hyperparathyroidism (HPT) and compares it to hyperthyroidism. HPT occurs when the parathyroid glands produce excess amounts of parathyroid hormone, causing calcium levels in the blood to rise. The main types are primary and secondary HPT. Symptoms can include joint pain, weakness, and fatigue. Hyperthyroidism affects the thyroid gland, causing it to produce excess hormones and lead to a rapid heartbeat and weight loss. Both conditions are diagnosed through blood tests and imaging tests. Treatments for HPT include surgery to remove the abnormal gland, while treatments for hyperthyroidism include medication, radioiodine therapy, or surgery. It is rare to have both
ROJoson PEP Talk: When to say you have a GOITER?Reynaldo Joson
This document is a transcript of a presentation on when to say you have a goiter. The presentation emphasizes the importance of monthly neck self-examination and consulting a thyroid specialist if abnormalities are found. It advises that if neck self-examination reveals an enlarged thyroid, nodules, enlarged lymph nodes, or symptoms of hyperthyroidism or hypothyroidism, one should say they have a goiter. It also recommends validating any self-discovered findings with a thyroid specialist, who will examine the neck, make a diagnosis, and recommend next steps such as monitoring, tests, medications or surgery. The overall message is for laypeople to understand when they may have a goiter through self-examination and when to consult an
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.
This document provides information about a zoom presentation on gout arthritis. The presentation aims to give laypeople an essential understanding of gout arthritis and its management. It will cover topics such as the causes of gout arthritis, risk factors, affected joints, stages of gout arthritis, diagnosis, and treatment options. Attendees are asked to provide feedback and can obtain a certificate for completing a post-presentation test.
The document discusses a patient empowerment program (PEP) talk on goiter awareness. It provides definitions of goiter and discusses the different types of goiter classified by clinical presentation and disease categories. It describes the common causes of goiter and how to recognize different types. It also outlines the usual diagnostic tests, treatments, and post-treatment management for various goiter types. The talk aims to provide laypeople with a basic understanding of thyroid goiter for their health management.
Gout is the most common form of arthritis in adult men, and affects one in 40 of the adult population. It can occur at any age, although it rarely affects children.
It is a long-term, chronic condition that, if not properly managed, can affect you for your whole lifetime.
In order to manage your gout correctly, it is very important to understand why it develops, how treatments work and the correct way to take the medication prescribed by your doctor.
This information presentation was delivered by Prof. Geraldine McCarthy, consultant rheumatologist, Mater Hospital, Dublin on 20 November 2017.
Hyperparathyroidism(HPT) V/S Hyperthyroidism - a brief medical study.martinshaji
This document provides information on hyperparathyroidism (HPT) and compares it to hyperthyroidism. HPT occurs when the parathyroid glands produce excess amounts of parathyroid hormone, causing calcium levels in the blood to rise. The main types are primary and secondary HPT. Symptoms can include joint pain, weakness, and fatigue. Hyperthyroidism affects the thyroid gland, causing it to produce excess hormones and lead to a rapid heartbeat and weight loss. Both conditions are diagnosed through blood tests and imaging tests. Treatments for HPT include surgery to remove the abnormal gland, while treatments for hyperthyroidism include medication, radioiodine therapy, or surgery. It is rare to have both
ROJoson PEP Talk: When to say you have a GOITER?Reynaldo Joson
This document is a transcript of a presentation on when to say you have a goiter. The presentation emphasizes the importance of monthly neck self-examination and consulting a thyroid specialist if abnormalities are found. It advises that if neck self-examination reveals an enlarged thyroid, nodules, enlarged lymph nodes, or symptoms of hyperthyroidism or hypothyroidism, one should say they have a goiter. It also recommends validating any self-discovered findings with a thyroid specialist, who will examine the neck, make a diagnosis, and recommend next steps such as monitoring, tests, medications or surgery. The overall message is for laypeople to understand when they may have a goiter through self-examination and when to consult an
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.
ROJoson PEP Talk: When to say you have a GOITER?Reynaldo Joson
The document discusses when a person should say they have a goiter. It begins by explaining what a goiter is - an abnormality in the thyroid gland that can be either functional (too much or too little hormone secretion) or structural (enlarged gland or nodules). It emphasizes the importance of monthly neck self-examinations to check for abnormalities. If a lump, enlargement or nodule is found, or symptoms of hyperthyroidism or hypothyroidism are present, a person should say they have a goiter. The next step is consulting a thyroid specialist, who will examine the neck, make a diagnosis, and recommend next steps, which may include observation or additional tests and treatment.
ROJoson PEP Talk: THYROID - GOITER - BOSYO AWARENESSReynaldo Joson
This document outlines the details of a Patient Empowerment Program (PEP) Talk on thyroid, goiter, and bosyo (Filipino term for goiter) awareness. The objectives are to provide laypeople with a basic understanding of these topics in managing their health. The PEP Talk will be held via Zoom and include discussions on the thyroid gland and its functions, different types of goiters and their causes, methods for recognizing goiters, diagnostic tests and treatments, and advice for layperson management. Participants are encouraged to ask questions, provide feedback, and take an online evaluation test to receive a certificate.
This document outlines a presentation on goiter awareness. It aims to empower laypeople to have a basic understanding of thyroid goiter for their health management. The presentation covers what goiter is, its different types and causes, how to recognize it, diagnostic tests, treatment options, and post-treatment management. The overall goal is to provide reliable information to give patients power and control over decisions regarding the medical management of thyroid goiter.
The document discusses the treatment of hyperuricemic patients at different uric acid levels and during gout attacks versus between attacks. It recommends lifestyle changes like reducing foods high in purines before starting urate-lowering therapy. The document also provides examples of classic and unusual presentations of gout, such as prepatellar bursitis and elbow involvement. Finally, it addresses concerns about familial disease and the role of genetics and epigenetics in gout.
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.
ROJoson PEP Talk: High Blood Pressure (Hypertension) ManagementReynaldo Joson
The document provides information about a zoom session on April 13, 2024 from 1400H to 1500H on High Blood Pressure (Hypertension) Management. The objective is for laypeople to have an essential understanding of managing hypertension as part of their health management. The session will include a presentation, group pictures, an online test for a certificate, and feedback in the chat box. [/SUMMARY]
ROJoson PEP Talk: HEPATITIS - Fundamentals & Generalities in ManagementReynaldo Joson
The document discusses a Patient Empowerment Program (PEP Talk) on Hepatitis. It provides an overview of the fundamentals and generalities of Hepatitis for laypeople. The PEP Talk covers definitions of Hepatitis, different types (acute vs chronic), causes (viral, drugs, etc.), symptoms, diagnostic tests, differences between Hepatitis A, B, and C, and treatment and prevention strategies. The goal is to empower laypeople with an understanding of Hepatitis for managing their health.
Arthritis is inflammation of the joints that causes pain, stiffness, and swelling. There are over 100 types but the most common are osteoarthritis, rheumatoid arthritis, and gout. Osteoarthritis involves wear and tear of cartilage between bones. Rheumatoid arthritis is an autoimmune disorder where the immune system attacks joint lining. Gout is caused by high uric acid levels forming crystals in the joints. Lifestyle changes like diet, exercise, and stress management can help manage arthritis symptoms.
This document discusses the relationship between obesity and osteoarthritis of the knees. It makes three key points:
1. Obesity is a major risk factor for developing osteoarthritis of the knees, as excess weight places significantly more stress on the knee joints. Obese individuals are up to 4 times more likely to develop knee osteoarthritis than high blood pressure or diabetes.
2. Once osteoarthritis develops, obesity makes the symptoms and pain worse and reduces the effectiveness of treatment. It also increases the risk of a poor outcome from knee replacement surgery.
3. Losing weight through diet and exercise can help prevent osteoarthritis, relieve symptoms for those who have it, and improve the results of knee replacement surgery for
Gout is a type of arthritis caused by high levels of uric acid in the blood. Uric acid crystallizes and deposits in joints, causing sudden, severe attacks of pain, swelling and tenderness. Gout typically affects the big toe joint initially and can progress through stages from asymptomatic hyperuricemia to acute attacks of gouty arthritis, periods of intercritical gout, and finally chronic tophaceous gout if left untreated. Risk factors include genetics, diet high in purines, obesity, medications and other medical conditions.
This document outlines a presentation on fatty liver disease. It discusses what fatty liver is, the different types including non-alcoholic fatty liver disease and alcoholic fatty liver disease. It covers the courses the disease can take and risk factors like obesity. Diagnosis methods like ultrasound and liver tests are described. Lifestyle changes around diet, exercise and alcohol intake are recommended for treatment and prevention. Supplements are not proven effective. Prognosis depends on reversing risk factors through weight loss. The overall aim is to empower laypeople to understand and manage fatty liver disease.
This document provides information about a Patient Empowerment Program (PEP) talk on arthritis and exercises. The talk aims to empower laypeople about the fundamentals of arthritis and importance of exercise for health management. It focuses on degenerative arthritis/osteoarthritis. Key points include: exercises can prevent/delay osteoarthritis and ease pain/stiffness; common exercises are range of motion, strengthening, aerobic and daily activities; and the presenter's personal exercise program against arthritis involves daily walking for 45-60 minutes and stretching for 30 minutes.
Arthritis is a condition characterized by the pain, tenderness, and inflammation of one or more joints in the body. Common arthritis symptoms include reduced motion, fever and night sweats, and joint pain and stiffness.
Gout is a type of arthritis caused by high levels of uric acid in the blood. It occurs when uric acid builds up in the joints, causing sudden attacks of pain, swelling and redness. Risk factors include genetics, diet high in purines, obesity, kidney disease and certain medications. Diagnosis involves examining the joint fluid or tissue and measuring uric acid levels. Treatment focuses on medications to prevent attacks and lower uric acid such as colchicine, allopurinol and corticosteroids. Lifestyle changes around diet, exercise and hydration are also important to managing the disease. Nursing care involves assessing pain levels, monitoring for inflammation and hyperthermia, assisting with range of motion, educ
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the latest guidelines ACR and EULAR, Ahmed Yehia Ismaeel, MD Beni-Suef University
ACR EULAR CLASSIFICATION CRITERIA FOR GOUT
EULAR 2023 Guidelines on gout imaging
ACR guideline recommendations for gout management
This document provides information about a patient presenting with right foot pain who is being evaluated for gout. It includes the patient's history, physical exam findings, lab results, and diagnostic workup. The primary working impression is acute gouty arthritis given the patient's risk factors of age, obesity, drinking, and diet high in meat and organ meats. Differential diagnoses considered include septic arthritis, reactive arthritis, and pseudogout but are deemed less likely. Management involves symptomatic relief of the acute attack and long-term urate-lowering therapy to prevent future attacks.
This document provides an overview of gout and hyperuricemia. It discusses the pathophysiology, clinical presentations, diagnosis and treatment. Key points include: Gout is caused by elevated uric acid leading to monosodium urate crystal formation in joints; the most common presentation is acute inflammatory arthritis, often in the great toe; diagnosis involves identifying crystals in synovial fluid or tophi and measuring uric acid levels; treatment focuses on lifestyle modifications and medications to reduce uric acid production or enhance excretion.
Gout is a form of inflammatory arthritis characterized by recurrent attacks of pain in joints like the big toe. It occurs when elevated levels of uric acid in the blood crystallize and deposit in joints. Risk factors include diet high in purines, alcohol consumption, obesity, and certain medications. Diagnosis involves examining joint fluid or tophi for urate crystals or testing blood uric acid levels. Treatment consists of NSAIDs, colchicine, steroids, or long-term uric acid-lowering drugs like allopurinol to prevent future attacks. Lifestyle changes such as diet modification and weight loss can also help prevent gout.
A 55-year-old male presented with jaundice, decreased urination, and swelling of the body for 1 month. He has a history of alcoholism and smoking for 3 years. Laboratory tests revealed elevated bilirubin, liver enzymes, and signs of portal hypertension. He was diagnosed with alcoholic liver disease. Treatment included medications to protect the liver, manage complications, and lifestyle changes like abstaining from alcohol. Due to his condition, consultation with nutrition, gastroenterology, nephrology, neurology, and infectious disease services was recommended. Immunization against common liver pathogens and lifestyle modifications were also advised to prevent further damage and support recovery.
ROJoson PEP Talk: GOITER Management - Part 1 - Fundamentals and GeneralitiesReynaldo Joson
ROJoson PEP Talk: GOITER Management - Part 1 - Fundamentals and Generalities
Contents:
What is a goiter?
What are the different types of goiter?
What are the causes of goiter?
How common are the goiters?
ROJoson PEP Talk: When to say you have a GOITER?Reynaldo Joson
The document discusses when a person should say they have a goiter. It begins by explaining what a goiter is - an abnormality in the thyroid gland that can be either functional (too much or too little hormone secretion) or structural (enlarged gland or nodules). It emphasizes the importance of monthly neck self-examinations to check for abnormalities. If a lump, enlargement or nodule is found, or symptoms of hyperthyroidism or hypothyroidism are present, a person should say they have a goiter. The next step is consulting a thyroid specialist, who will examine the neck, make a diagnosis, and recommend next steps, which may include observation or additional tests and treatment.
ROJoson PEP Talk: THYROID - GOITER - BOSYO AWARENESSReynaldo Joson
This document outlines the details of a Patient Empowerment Program (PEP) Talk on thyroid, goiter, and bosyo (Filipino term for goiter) awareness. The objectives are to provide laypeople with a basic understanding of these topics in managing their health. The PEP Talk will be held via Zoom and include discussions on the thyroid gland and its functions, different types of goiters and their causes, methods for recognizing goiters, diagnostic tests and treatments, and advice for layperson management. Participants are encouraged to ask questions, provide feedback, and take an online evaluation test to receive a certificate.
This document outlines a presentation on goiter awareness. It aims to empower laypeople to have a basic understanding of thyroid goiter for their health management. The presentation covers what goiter is, its different types and causes, how to recognize it, diagnostic tests, treatment options, and post-treatment management. The overall goal is to provide reliable information to give patients power and control over decisions regarding the medical management of thyroid goiter.
The document discusses the treatment of hyperuricemic patients at different uric acid levels and during gout attacks versus between attacks. It recommends lifestyle changes like reducing foods high in purines before starting urate-lowering therapy. The document also provides examples of classic and unusual presentations of gout, such as prepatellar bursitis and elbow involvement. Finally, it addresses concerns about familial disease and the role of genetics and epigenetics in gout.
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.
ROJoson PEP Talk: High Blood Pressure (Hypertension) ManagementReynaldo Joson
The document provides information about a zoom session on April 13, 2024 from 1400H to 1500H on High Blood Pressure (Hypertension) Management. The objective is for laypeople to have an essential understanding of managing hypertension as part of their health management. The session will include a presentation, group pictures, an online test for a certificate, and feedback in the chat box. [/SUMMARY]
ROJoson PEP Talk: HEPATITIS - Fundamentals & Generalities in ManagementReynaldo Joson
The document discusses a Patient Empowerment Program (PEP Talk) on Hepatitis. It provides an overview of the fundamentals and generalities of Hepatitis for laypeople. The PEP Talk covers definitions of Hepatitis, different types (acute vs chronic), causes (viral, drugs, etc.), symptoms, diagnostic tests, differences between Hepatitis A, B, and C, and treatment and prevention strategies. The goal is to empower laypeople with an understanding of Hepatitis for managing their health.
Arthritis is inflammation of the joints that causes pain, stiffness, and swelling. There are over 100 types but the most common are osteoarthritis, rheumatoid arthritis, and gout. Osteoarthritis involves wear and tear of cartilage between bones. Rheumatoid arthritis is an autoimmune disorder where the immune system attacks joint lining. Gout is caused by high uric acid levels forming crystals in the joints. Lifestyle changes like diet, exercise, and stress management can help manage arthritis symptoms.
This document discusses the relationship between obesity and osteoarthritis of the knees. It makes three key points:
1. Obesity is a major risk factor for developing osteoarthritis of the knees, as excess weight places significantly more stress on the knee joints. Obese individuals are up to 4 times more likely to develop knee osteoarthritis than high blood pressure or diabetes.
2. Once osteoarthritis develops, obesity makes the symptoms and pain worse and reduces the effectiveness of treatment. It also increases the risk of a poor outcome from knee replacement surgery.
3. Losing weight through diet and exercise can help prevent osteoarthritis, relieve symptoms for those who have it, and improve the results of knee replacement surgery for
Gout is a type of arthritis caused by high levels of uric acid in the blood. Uric acid crystallizes and deposits in joints, causing sudden, severe attacks of pain, swelling and tenderness. Gout typically affects the big toe joint initially and can progress through stages from asymptomatic hyperuricemia to acute attacks of gouty arthritis, periods of intercritical gout, and finally chronic tophaceous gout if left untreated. Risk factors include genetics, diet high in purines, obesity, medications and other medical conditions.
This document outlines a presentation on fatty liver disease. It discusses what fatty liver is, the different types including non-alcoholic fatty liver disease and alcoholic fatty liver disease. It covers the courses the disease can take and risk factors like obesity. Diagnosis methods like ultrasound and liver tests are described. Lifestyle changes around diet, exercise and alcohol intake are recommended for treatment and prevention. Supplements are not proven effective. Prognosis depends on reversing risk factors through weight loss. The overall aim is to empower laypeople to understand and manage fatty liver disease.
This document provides information about a Patient Empowerment Program (PEP) talk on arthritis and exercises. The talk aims to empower laypeople about the fundamentals of arthritis and importance of exercise for health management. It focuses on degenerative arthritis/osteoarthritis. Key points include: exercises can prevent/delay osteoarthritis and ease pain/stiffness; common exercises are range of motion, strengthening, aerobic and daily activities; and the presenter's personal exercise program against arthritis involves daily walking for 45-60 minutes and stretching for 30 minutes.
Arthritis is a condition characterized by the pain, tenderness, and inflammation of one or more joints in the body. Common arthritis symptoms include reduced motion, fever and night sweats, and joint pain and stiffness.
Gout is a type of arthritis caused by high levels of uric acid in the blood. It occurs when uric acid builds up in the joints, causing sudden attacks of pain, swelling and redness. Risk factors include genetics, diet high in purines, obesity, kidney disease and certain medications. Diagnosis involves examining the joint fluid or tissue and measuring uric acid levels. Treatment focuses on medications to prevent attacks and lower uric acid such as colchicine, allopurinol and corticosteroids. Lifestyle changes around diet, exercise and hydration are also important to managing the disease. Nursing care involves assessing pain levels, monitoring for inflammation and hyperthermia, assisting with range of motion, educ
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the latest guidelines ACR and EULAR, Ahmed Yehia Ismaeel, MD Beni-Suef University
ACR EULAR CLASSIFICATION CRITERIA FOR GOUT
EULAR 2023 Guidelines on gout imaging
ACR guideline recommendations for gout management
This document provides information about a patient presenting with right foot pain who is being evaluated for gout. It includes the patient's history, physical exam findings, lab results, and diagnostic workup. The primary working impression is acute gouty arthritis given the patient's risk factors of age, obesity, drinking, and diet high in meat and organ meats. Differential diagnoses considered include septic arthritis, reactive arthritis, and pseudogout but are deemed less likely. Management involves symptomatic relief of the acute attack and long-term urate-lowering therapy to prevent future attacks.
This document provides an overview of gout and hyperuricemia. It discusses the pathophysiology, clinical presentations, diagnosis and treatment. Key points include: Gout is caused by elevated uric acid leading to monosodium urate crystal formation in joints; the most common presentation is acute inflammatory arthritis, often in the great toe; diagnosis involves identifying crystals in synovial fluid or tophi and measuring uric acid levels; treatment focuses on lifestyle modifications and medications to reduce uric acid production or enhance excretion.
Gout is a form of inflammatory arthritis characterized by recurrent attacks of pain in joints like the big toe. It occurs when elevated levels of uric acid in the blood crystallize and deposit in joints. Risk factors include diet high in purines, alcohol consumption, obesity, and certain medications. Diagnosis involves examining joint fluid or tophi for urate crystals or testing blood uric acid levels. Treatment consists of NSAIDs, colchicine, steroids, or long-term uric acid-lowering drugs like allopurinol to prevent future attacks. Lifestyle changes such as diet modification and weight loss can also help prevent gout.
A 55-year-old male presented with jaundice, decreased urination, and swelling of the body for 1 month. He has a history of alcoholism and smoking for 3 years. Laboratory tests revealed elevated bilirubin, liver enzymes, and signs of portal hypertension. He was diagnosed with alcoholic liver disease. Treatment included medications to protect the liver, manage complications, and lifestyle changes like abstaining from alcohol. Due to his condition, consultation with nutrition, gastroenterology, nephrology, neurology, and infectious disease services was recommended. Immunization against common liver pathogens and lifestyle modifications were also advised to prevent further damage and support recovery.
ROJoson PEP Talk: GOITER Management - Part 1 - Fundamentals and GeneralitiesReynaldo Joson
ROJoson PEP Talk: GOITER Management - Part 1 - Fundamentals and Generalities
Contents:
What is a goiter?
What are the different types of goiter?
What are the causes of goiter?
How common are the goiters?
ROJoson PEP Talk: Does Biopsy Make Cancer Spread?Reynaldo Joson
This document contains information from a presentation on whether biopsies can cause cancer to spread. It defines a biopsy as a procedure that removes a sample of tissues, cells, or fluid from the body to examine for diagnosis. Different types of biopsies are described, including those that remove samples versus whole masses. Benefits of biopsies include obtaining a definite diagnosis to guide treatment planning. The document discusses the fear that biopsies may cause cancer seeding or spread, and defines cancer seeding as cancer cells spreading along the needle track during a biopsy.
ROJoson PEP Talk: Developing a Breast Self-Exam Habit through a Motivating AwardReynaldo Joson
This document outlines a Zoom presentation on developing a breast self-exam habit through motivating awards. It provides logistical details for the event, including the date, time, and instructions for participants. The presentation aims to teach laypeople how to perform breast self-exams and develop the habit through an awards program. It will cover what breast self-exams are, their importance, and how to properly conduct one. The speaker will advocate for their breast self-exam awards initiative to motivate more women to regularly perform self-exams.
ROJoson PEP Talk: CAN ONE SKIP RADIOACTIVE IODINE THERAPY IN THYROID CANCER T...Reynaldo Joson
The document discusses radioactive iodine therapy (RAIT) for thyroid cancer treatment. RAIT involves using radioactive iodine-131, which is taken orally and concentrates in thyroid tissue to destroy cancer cells. It is effective for papillary and follicular thyroid cancers. RAIT is used for remnant ablation after surgery, adjuvant therapy to prevent recurrence, and treatment of known disease. While commonly recommended in the past, the use of RAIT has evolved to focus on patients at higher risk, as not all thyroid cancers require aggressive treatment like RAIT. The document questions whether RAIT can be skipped in some patients.
ROJoson PEP Talk: Can one skip RADIOACTIVE IODINE THERAPY in Thyroid Cancer T...Reynaldo Joson
The document discusses radioactive iodine therapy (RAIT) for thyroid cancer treatment. RAIT involves using radioactive iodine-131, which is taken orally and concentrates in thyroid tissue to destroy cancer cells. It is effective for papillary and follicular thyroid cancers. RAIT is used for remnant ablation after surgery, adjuvant therapy to prevent recurrence, and treatment of known disease. While commonly recommended in the past, the use of RAIT has evolved to focus on patients at higher risk of recurrence rather than applying it routinely, as many thyroid cancers have excellent outcomes with surgery alone. The document questions whether RAIT can be skipped in some patients with a very low risk.
ROJoson PEP Talk: DOES EVERYONE HAVE CANCER CELLS IN THEIR BODY?Reynaldo Joson
The document discusses whether everyone has cancer cells in their body. It explains that while our bodies are constantly producing new cells, not all of these cells are destined to become cancerous. A typical healthy cell goes through cycles of growth, division and death, while a cancer cell does not follow this normal cycle and keeps reproducing abnormally. Not everyone inherently has cancer cells in their body from the beginning - it is possible for initially normal cells to eventually develop into cancer cells due to certain risk factors.
ROJoson PEP Talk: Can one skip CHEMOTHERAPY in BREAST CANCER TREATMENT?Reynaldo Joson
Chemotherapy is a systemic cancer treatment that uses powerful drugs to destroy fast-growing cancer cells. It works by keeping cancer cells from growing and dividing. Chemotherapy can be given alone or with other treatments depending on the cancer type and stage. Factors like a person's age, health, and the cancer details help determine the chemotherapy plan and drugs. Chemotherapy aims to cure cancer, shrink tumors before other treatments, destroy remaining cancer cells after treatment, or slow cancer progression and relieve symptoms.
ROJoson PEP Talk: Do all patients need painkillers after an operation?Reynaldo Joson
This document provides information from a Patient Empowerment Program (PEP) Talk on the use of painkillers after an operation. The PEP Talk aims to give laypeople an essential understanding of painkiller use after surgery in managing their health. It discusses that not all patients need painkillers after an operation, as some procedures do not involve cutting or cause pain. It also outlines factors that govern physician prescription and patient intake of postoperative painkillers.
ROJoson PEP Talk: Do all patients need painkillers after an operation?Reynaldo Joson
The document discusses whether all patients need painkillers after an operation. Not all patients require painkillers, as some operations do not involve cuts or incisions and are thus not painful. Whether painkillers are prescribed depends on factors like the usual pain from the procedure and the patient's pain threshold. Patients should monitor their pain levels at home and follow physician advice on appropriate painkiller use.
ROJoson PEP Talk: Cancer Surveillance after Definitive TreatmentReynaldo Joson
This document summarizes a zoom presentation on cancer surveillance after definitive treatment. The presentation aims to empower laypeople by providing an essential understanding of cancer surveillance as part of health management. It discusses what cancer surveillance after treatment is, how it is done through monitoring symptoms, physical exams, and tests, and why it is important lifelong. It also covers different approaches to surveillance and emphasizes educating patients on symptoms of recurrence to watch out for based on their cancer type.
ROJoson PEP Talk: Philippine National Health Awareness CalendarReynaldo Joson
The document discusses the Philippine National Health Awareness Calendar, including what it is, its objectives to raise awareness and mobilize support for health issues. It also outlines the bases for including health topics in the calendar, examples of contents from the 2023 calendar, and the benefits of understanding the calendar such as patient empowerment and taking control of one's health.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
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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.
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.
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
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.
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!