GOUT

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1. DDx:

    1. septic arteritis

2. Treatment:

    1. Tab colchicine 0.5 mg q1h (max dose 1.8 mg) first day then 0.5 mg bid for 2-3 days

    2. Tab indomethacin 50 mg

        1. or tab ibuprofen 800 mg tds

        2. or tab diclofenac tds

        3. or amp betamethasone 8 mg IM

    3. Tab Prednisolone 30-40 mg daily till resolving symptoms, taper in 1-2 weeks

3. Lab data:

    1. CBC, diff, ESR, CRP

    2. BUN, Cr, U/A

    3. Acid uric level

    4. Lipid profile