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{{Gout}}
{{Gout}}
{{CMG}}
{{CMG}}; {{AE}} {{JH}}.
 
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==Overview==


==Physical Examination==
==Physical Examination==
===Extremities===
{| align="center"
|-valign="top"
| [[Image:upper_hand_mcp_gout.jpg|thumb|Gout of Left MCP Joints: Diffuse redness and swelling over MCP joints caused by inflammation induced by gout. Right hand is normal, for comparison.]]
| [[Image:upper_wrist_gout.jpg|thumb|Gout of the Right Wrist: Note swelling and redness over right wrist area. Left wrist is normal.]]
| [[Image:upper_wrist_gout1.jpg|thumb|Gout of the Left Wrist: Note swelling and redness over left wrist area.]]
| [[Image:upper_wrist_gout2.jpg|thumb|A normal wrist for comparison.]]
|}


{| align="center"
Physical examination findings may include the following:
|-valign="top"
* Joint inflammation: Involvement of a single or multiple joints during an acute gout attack will show joint inflammation (synovitis), tenderness, erythema, swelling, and warmth of the affected joint. 25777045
| [[Image:upper_tophaceous_gout2.jpg|thumb|Tophaceous Gout]]
* Fever: Features of systemic inflammation, including fever, might also be present, particularly in the presence of a polyarticular flare. 21288096
| [[Image:upper_gout_toph.jpg|thumb|Tophaceous Gout]]
* Tophi: The subcutaneous deposition of MSU crystals as tophi may be found on the fingers, olecranon processes, toes, Achilles’ tendons, knees and occasionally on the helix of the ears. 224473446
| [[Image:upper_toph_gout.jpg|thumb|Tophaceous Gout]]
* Ocular findings: MSU crystal deposition has been reported to occur in various parts of the eye. Crystal deposition in the cornea may cause peripheral ulcerative keratitis, while retinopathy may be associated with chronically uncontrolled gout. 29053564 29351793
| [[Image:extremities_gout.jpg|thumb|Gout of the Left Great Toe: Diffuse swelling and redness centered at the left MTP joint.]]
|}


{| align="center"
<gallery>
|-valign="top"
File:Gout 01.jpeg|Gout flare affecting first metatarsophalangeal joint<ref name="urlgout - Pictures">{{cite web |url=http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=168 |title=gout - Pictures |format= |work= |accessdate=}}</ref>
| [[Image:Gout 0010.jpg|thumb|Hand: Gout: Gross natural color]]
File:Gout 03.jpeg|Tophus on Achilles’ tendon<ref name="urlgout - Pictures">{{cite web |url=http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=168 |title=gout - Pictures |format= |work= |accessdate=}}</ref>
| [[Image:Gout 0007.jpg|thumb|Bone: Gout: Gross close-up of elbow with enlargement of proximal radius due to gout]]
File:Gout 05.jpeg|Tophi on ear. Note the associated inflammation<ref name="urlgout - Pictures">{{cite web |url=http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=168 |title=gout - Pictures |format= |work= |accessdate=}}</ref>
| [[Image:extremities_greattoe_gout.jpg|thumb|Gout of the Right Great Toe: Diffuse swelling and redness centered at the right MTP joint, but extending over much of the foot.]]
</gallery>
| [[Image:upper_tophaceous_gout.jpg|thumb|Tophaceous Gout]]
|}


{| align="center"
== References ==
|-valign="top"
| [[Image:extremities_gout_normal.jpg|thumb|Gout of the Knee: Image demonstrates redness and swelling caused by acute gouty arthritis. ]]
| [[Image:extremities_gout_inflamed.jpg|thumb|Picture demonstrates normal knee for comparison. skin changes seen in both legs are related to burns that patient suffered previously.]]
| [[Image:ChronicGout.jpg|thumb|Gout with tophi on elbow and knee.]]
| [[Image:Gout 0008.jpg|thumb|Hand: Gout: Gross view of both hand with enlarged joints]]
|}
 
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Arthritis]]
[[Category:Rheumatology]]
[[Category:Disease]]
[[Category:Needs content]]
{{WH}}
{{WS}}

Latest revision as of 10:37, 27 April 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2].

Physical Examination

Physical examination findings may include the following:

  • Joint inflammation: Involvement of a single or multiple joints during an acute gout attack will show joint inflammation (synovitis), tenderness, erythema, swelling, and warmth of the affected joint. 25777045
  • Fever: Features of systemic inflammation, including fever, might also be present, particularly in the presence of a polyarticular flare. 21288096
  • Tophi: The subcutaneous deposition of MSU crystals as tophi may be found on the fingers, olecranon processes, toes, Achilles’ tendons, knees and occasionally on the helix of the ears. 224473446
  • Ocular findings: MSU crystal deposition has been reported to occur in various parts of the eye. Crystal deposition in the cornea may cause peripheral ulcerative keratitis, while retinopathy may be associated with chronically uncontrolled gout. 29053564 29351793

References

  1. 1.0 1.1 1.2 "gout - Pictures".