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Gout

 

TheBasics

A disorder of uric acid metabolism. Predisposing factors are: older age, kidney disease, diet, use of certain medications (cyclosporine, thiazide diuretics, low-dose aspirin).

 

SYMPTOMS and DIAGNOSIS
TREATMENT
GUIDELINES and RESOURCES

 

 

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TipsandTools


ClinicalTrials

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FeaturedArticles

No Evidence Backs Intra-articular Glucocorticoids for Acute Gout
They may be supported by guidelines and commonly used in practice, but joint injections with glucocorticoids for acute gout are not backed by any randomized controlled clinical trials, according to a new Cochrane report. However, the report backs away from saying they should not be used. More »
Pattern Identified on fMRI May Rationalize Pain Research
A series of studies using functional MRI have identified brain-signal patterns specific for pain that are attenuated by opioids: Also last week: top rheumatology findings of 2012, more on TNF inhibitors and cancer, and concerns about vitamin D. More »
Self-Reported Joint Pain Scores: Beyond RA, Key Information With Little Effort
The RADAI joint index designed for rheumatoid arthritis patients provides equally powerful information about disease status in osteoarthritis and psoriatic arthritis, according to a new comparative study. As a guide to severity, it is much quicker than waiting for lab results to come in. More »
Rilonacept Doesn't Dampen Pain Well in Gouty Arthritis
Despite hopes that rilonacept might provide a better alternative to NSAIDs or colchicines for gout pain, it does not provide significant relief either on its own or as an add-on therapy to indomethacin. More »
Challenged: Six Misconceptions About Gout and Arthritis
Does this evidence from recent research overturn some generally accepted principles about gout, rheumatoid arthritis, reactive arthritis, and osteoarthritis? Most of these studies were undertaken in order to test ideas that were described as common wisdom in rheumatology. More »
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PubMed

pubmed.gov - 12/14/12
pubmed.gov - 11/30/12
pubmed.gov - 11/30/12
pubmed.gov - 11/30/12
pubmed.gov - 11/27/12
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FromPhysiciansPractice

Five Steps to Improving Patient Access
Judy Capko,  May 21, 2013
Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.
Growing HIPAA Threat – Ignore Windows XP at Your Own Peril
Marion K. Jenkins,  May 21, 2013
Chances are good that you have some major ticking software time bombs lurking in your medical practice's computer environment, namely Windows XP and Server 2003.
Finding Physician Work-Life Balance in the Small Moments
Jennifer Frank, MD,  May 21, 2013
At my practice and at home, things are always busy. There's laundry or homework, or a patient with needs.
Three Areas to Reduce Costs at Your Medical Practice
Greg Mertz,  May 19, 2013
By taking a hard look at reducing costs for staffing, overhead, and technology at your medical practice, you may see increased physician compensation.
Dos and Don’ts for Starting a Physician Blog
Michael Woo-Ming, MD,  May 18, 2013
Starting a physician blog can provide your medical practice with marketing benefits, but it's important to do it right.
 

 

PatientResources

What is Gout?
National Institute of Arthritis and Musculoskeletal and Skin Diseases

 

Gout
Medline Plus (National Institutes of Health

 

Gout
JAMA Patient Page

 

Gout
American College of Rheumatology

 

Gout
Arthritis Foundation

 

Gout: Your Orthopedic Connection
American Academy of Orthopedic Surgeons

SearchMedicaNews


New Exploration of the Modern Psychopathic Profile
May 24, 2013

Psychopaths share characteristics with serial killers and successful professions, such as surgeons, high-powered executives, and politicians, according to a review of a new book that explores several scientific approaches to identifying aspects of psychopathic traits.

Painful Bone Metastases: Causes and Therapeutic Complexities
May 23, 2013

Gender-based differences may explain some of the variability in cancer-related bone pain. Also, an expert review tries to define how to choose the right protocol for radiotherapy of bone metastases.

Simple Pain Assessment From Three Basic Questions
May 22, 2013

Three easy-to-obtain pieces of information followed by a systematic recording of a general practitioners' prognostic judgment provide a simple, generic assessment of older patients presenting with musculoskeletal problems.

Niacin Revived as Option for Treating Hyperlipidemia
May 21, 2013

Despite negative results in a recent major trial, cardiologists are finding reasons to reconsider niacin's potential for cardiovascular prevention in reducing LDLs and triglcyerides and increasing HDLs.

Less May Be Best In Surgery for Diverticular Disease
May 20, 2013

Single-incision laparoscopic colectomy appears to have advantages over the standard laparasopic technique for patients with diverticular disease, and in the right hands even complicated cases can benefit from minimally invasive surgery.