#112 Gout Flares: Bathtubs and Firefighting

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 3 September 2018

⏱️ 48 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

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

Transcript

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0:00.0	The first Irish podcast is for entertainment education and information processing.
0:09.2	At the top of this discussion, it should not be used only by industry, your orbit and industry
0:11.4	is more than easy as organizations, but more than use the same express on its podcast
0:13.2	or solo those of those, it should not be interpreted perfectly for official policy
0:14.9	or position of agency, the psychrompossil, cash-like morons, and affiliate outreach programs.
0:17.2	Indeed, there are any in fact there are none.
0:18.8	Pretty much we are responsible for this discussion, but we do our homework and let's know
0:20.8	if there were any.
0:30.0	Welcome back to the Curb Siders.
0:36.8	How's my mat?
0:37.8	How are you doing?
0:38.8	I'm doing very well Stewart.
0:40.4	Thank you for asking.
0:41.7	How are you doing?
0:42.7	That's great.
0:43.7	I'm doing wonderful.
0:46.1	I think like 99% of the time when people ask me how I'm doing, I'm just like I'm doing
0:49.9	fine and I just walk right past them and I don't ask them.
0:54.9	Because in my head I'm like I don't care how you're doing and you don't care how I'm
0:58.6	doing.
0:59.6	I'm not a walking.
1:00.6	Yeah, it's just a formality.
	...

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