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Medgeeks with Andrew Reid

PA Boards 36: Gout

Medgeeks with Andrew Reid

Medgeeks

Education, Medicine, Health & Fitness

4.8997 Ratings

🗓️ 5 June 2014

⏱️ 23 minutes

🧾️ Download transcript

Summary

Let's talk GOUT!  Signs, symptoms, testing,and treatment.  Remember HCTZ and ASA can increase uric acid levels. Losartan, vitamin C, and fenofibrate can actually lower uric acid levels.  But, listen to the show to get all the details, so you can pass the boards, but more importantly, help those in clinical practice!

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Transcript

Click on a timestamp to play from that location

0:00.0

Hey, what's going on guys? Welcome to episode 36 of the Physician

0:03.8

System boards.com podcast. In today's topic, we're going to be reviewing gout.

0:08.1

We're going to go over the definition. We're going to go over clinical signs and symptoms, testing, and treatment.

0:15.8

Before we go ahead and start talking about gouts, I just want to give a quick thank you to everybody

0:20.4

that's been emailing me about the the pants review book. I really really appreciate all

0:26.7

of the feedback and you know I have no doubt in my mind that this is going to be an

0:30.8

amazing resource for you guys and I'm you know really

0:33.9

excited to get that out there for you guys and I'm putting it together now so

0:37.5

hopefully in the next month this will be available for you guys to start

0:41.7

start reviewing.

0:43.4

So again, appreciate all of the feedback,

0:45.9

and it's because of the feedback that I'm able to go ahead

0:48.9

and make this exactly what it needs to be.

0:51.3

So thank you, thank you, and thank thank you again so let's go ahead and get started with gout

0:56.9

now hyper-yorissemia right this can be caused by one of three things

1:02.0

or all three things if you want to be a little bit

1:05.5

technical but really this is either going to be because of impairment of

1:08.9

renal urate excretion right so we have problems actually excreting the uric acid because we have

1:16.7

renal impairment. Or we make too much uric acid, right? There's an overproduction of

1:21.4

uric acid. So much for that the kidneys can't keep up with this overproduction

1:26.0

So they can't excrete as fast as you make and or you're overeating these purine-rich foods. Now after years this starts to leave

1:36.4

monosodium muric crystals in the joints and the tissues right so it takes years to

...

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