#112 Gout Flares: Bathtubs and Firefighting

Crystalize your knowledge of gout and stop flares in their tracks with tips from expert, Tuhina Neogi MD, PhD, Professor of Medicine at Boston University School of Medicine. On this first of two gout episodes we learn to diagnose gout with or without arthrocentesis, how to treat flares, and how to counsel patients about gout, which apparently involves fire fighting and bathtubs. Don’t miss next week’s episode on urate lowering therapy, gout guidelines controversy, and answers to your gout questions from social media.

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Credits:

• Written and produced by: Matthew Watto MD
• Hosts: Paul Williams MD, Stuart Brigham MD, Matthew Watto MD
• Guest: Tuhina Neogi MD, PhD

Time Stamps

• 00:00 Disclaimer, intro
• 01:40 Guest bio
• 03:20 Guest one liner, music recommendations, advice for researchers, and some comments on failure
• 09:15 Clinical diagnosis of gout
• 12:15 Is taking a diet history useful?
• 14:30 Classification criteria for gout
• 17:35 MSK ultrasound and Physical exam findings in gout
• 21:06 Arthrocentesis and MSU crystals
• 24:45 A recap of how to make the diagnosis of gout
• 26:50 The bathtub analogy and how to counsel a patient with a new diagnosis of gout
• 30:55 Pathophysiology of gout
• 34:55 Treatment for acute gout flares (steroids, colchicine, NSAIDS. And topical NSAIDS?) 
• 45:30 Outro

Tags: gout, crystal, colchicine, steroids, nsaids, joint, flare, acute, chronic, urate, uric, acid, arthritis, acr, exam, diagnosis, rheumatology, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student