Gout Case Study

2129 Words 9 Pages
Annie, 40years old female has been admitted in Emergency department with chief complain of excruciating increasing pain in her big toe for the last two days. In addition to this, she also stated that she has not sleep for the last two days. On examination her toe appears red and swollen and warm to touch. Also, during palpation throbbing pulsation can be felt. According to Annie she cannot bear weight on her right foot. According to past medical history Anne has been diagnosed with gout. Her LFT report is normal but uric acid level is high. Gout can be defined as a common form of inflammatory arthritis, a condition affecting the joints and musculoskeletal system, which is characterized by sudden and severe pains, redness and tenderness in …show more content…
An elevated serum level, together with local factors, can results into the joints, tendons and surrounding tissue (Finney, 2014). Once crystals are deposited into a joint, they can be released into the joint space and initiate an inflammatory cascade causing a gouty arthritis. These acute flares resolve, but the crystals remain in the joint (Schumacher, 2008). Annie is prescribed for Ibuprofen 200-400mg and Allopurinol 600mg. Ibuprofen works by blocking the effect of chemicals called cyclo-oxygenase (COX) enzymes, which is responsible to produce prostaglandins. By blocking the effects of COX enzymes, fewer prostaglandins are produced, which means pain and inflammation, are eased (Bushra & Aslam, 2010). Likewise, Allopurinol works by blocking the enzyme (xanthine oxidase) that converts other substances into uric acid. This helps to stop the level of uric acid in the blood from becoming too high and causing problems like gout (Pacher, Nivorozhkin, & Szabo, …show more content…
It is focused on the person’s perceived level of health and well being, and on practices for maintaining health. Also evaluated Habits including smoking and alcohol or drug use. Assessment of this pattern can provide a rich database for planning treatment and drug therapies. In Annie case all history-taking questions are not applicable. However, main focus should be done for alcohol history. One of the contributing risk factor for gout is alcohol consumption, which increases the production of uric acid production (Finney, 2014)). Moreover, general history of food or drug allergy, family history of gout can be obtained from Annie, which may be helpful in diagnosis and treatment process. Gout may possibly relate to lifestyle and genetic factor (Roddy, Mallen, & Doherty, 2013). Annie general health appearance looks unwell and worried and she is unstable on her Right foot because of pain. On examination her toe appears red and swollen and warm to touch. Annie flinches when her toe is touched during physical examination from which we can know she is in

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