Case Id : ( 53205 )
Date : ( 3/21/2019 )
Doctor : Prof. Hesham Hamoud
Project : Gout
Site : Ain Shams University Hospital
Patient : New Patient
Reg By : 2

Personal History

Name
Birth Date
Age
Gender
Residency
Occupation
Weight (kg)
Height (m)
BMI (Body Mass Index)
Smoking
Informed Consent

Drug history

Diuretics
Beta blockers
Low dose aspirin
Other drugs

Comorbidities

Hypertension
Hyperlipidemia
Diabetes
Ischemic heart disease
Renal disease
Liver disease
Osteoarthritis
Psoriasis
Associated rheumatic diseases

Clinical Picture

Number of gouty attacks
Age at first gouty attack
Date of first gouty attack
Site(s) of gouty arthritis
Duration of acute gouty attack (in days)
Period between acute gouty attacks (in months)
Evidence of renal stones
Number of gouty tophi
Site(s) of gouty tophi

Laboratory investigations

ESR (mm/hr)
CRP (mg/dl)
Serum uric acid
Urine analysis
24 hours urinary uric acid level
Creatinine
Urea
Creatinine Clerance (CCl)
GFR
Serum cholesterol level

Radiological / Intervention investigations

Polarized microscopy for crystals
Pelviabdominal U/S
X ray: Punched out erosions
X ray: Martel's sign (Overhanging edges)
MSUS: Double countor sign
Dual-Energy CT

Treatement

NSAIDs
Corticoosteroids
Colchicine
Allopurinol
Febuxostat
Propencid
Lesinurad (Zurampic)
Rilonacept (Arcalyst)
Anakinra (Kineret)
Pegluticase
Combination therapy
Back to List