Search results for "Gout"
Relax, kick off your shoes, and examine common foot disorders
To diagnose foot pain, start with its location, hindfoot, midfoot, or forefoot, according to one physician who treats military members and other high-performance athletes.
https://immattersacp.org/archives/2017/06/feet.htm
1 Jun 2017
New gout guidelines and 'treat to target'
Guidelines by ACP and by rheumatology societies disagree on the treat-to-target approach to therapy.
https://immattersacp.org/archives/2017/04/gout.htm
1 Apr 2017
Statins, gout guidelines fuel debate on best practice
This issue covers the debate about statins guidelines, evidence-based guidelines for gout, and physicians-in-training who face discrimination.
https://immattersacp.org/archives/2017/04/editors.htm
1 Apr 2017
PERSPECTIVES 4 ACP Internist Last November, the debate over ...
internal medicine and rheumatology. Last year, ACP released new evidence-based guidelinesoffering recommendations on diagnosis and treatment of gout, but it was a lack of a recom-mendation that actually caused ... Based on Tissue plasminogen activator for acute ischemic stroke. The NINDS rt-PA Stroke Study Group.
https://immattersacp.org/archives/2017/04/acpi-201704-dynamed_t1.pdf
23 Mar 2017
MKSAP Quiz: follow-up visit for gout
A 55-year-old man is evaluated during a follow-up visit for gout. Two years ago, he had been treated with allopurinol and developed a hypersensitivity reaction. Over the past several months, he has had recurrent attacks of acute, episodic swelling of the first metatarsophalangeal joints with increasing involvement of other joints, including the ankles and knees. Laboratory studies showed significant hyperuricemia. History is also significant for Crohn disease, hypertension, chronic kidney disease (estimated glomerular filtration rate of 55 mL/min/1.73 m2), and nonalcoholic fatty liver disease. Current medications are diltiazem and azathioprine, which he has been taking for the past 9 months. Which of these is a contraindication to the use of febuxostat in this patient?
https://immattersacp.org/weekly/archives/2017/01/24/3.htm
24 Jan 2017
Clinical practice guideline for acute gout recommends corticosteroids, NSAIDs, low-dose colchicine
For diagnosis, a separate guideline recommended that physicians use synovial fluid analysis when clinical judgment indicates that diagnostic testing is necessary in patients with possible gout.
https://immattersacp.org/weekly/archives/2016/11/01/1.htm
1 Nov 2016
Noninvasive treatment almost always best for knee pain
Knee symptoms are the most common musculoskeletal reason why patients visit their doctors, and in most cases, except when breaks or infection is suspected, physicians should recommend the use of nonsurgical treatments first.
https://immattersacp.org/archives/2016/04/knees.htm
1 Apr 2016
Warning about different doses for 2 forms of posaconazole
This update covers a warning that differences in dosing regimens between the 2 oral formulations of posaconazole (Noxafil) have resulted in dosing errors.
https://immattersacp.org/archives/2016/03/fda.htm
1 Mar 2016
Corticosteroids may be viable first-line alternative to NSAIDs for acute gout
The study provides evidence that oral corticosteroids are as effective at treating pain and as acceptable to patients as non-steroidal anti-inflammatory drugs, and that they should be considered as a first-line alternative in the treatment of patients with acute gout.
https://immattersacp.org/weekly/archives/2016/02/23/4.htm
23 Feb 2016
MKSAP Quiz: Gout with flares
This week's quiz asks readers to determine the appropriate next step in management for a 59-year-old man with a 6-month history of gout, hypersensitivity to allopurinol, and more frequent gout flares.
https://immattersacp.org/weekly/archives/2015/09/15/3.htm
15 Sep 2015