The Hip: Preservation, Replacement and Revision

Diff Dx: Gout

- See: Hyperuricemia:

- Differential:
    - Rheumatoid Arthritis:
    - Infection:
         - w/ rapid destruction of gouty joint (by intraarticular infection), crystalline deposits may be released into synovial fluid, leading to confusion;
         - note that indomethacin can quell the clinical symptoms of early septic arthritis (just as it will w/ gout), and therefore, NSAIDs should
                  not be used to differentiate between gout and infection;
    - Pseudogout
    - Rheumatic fever
    - Hyperparathyroidism
    - Bone Tumor
    - Diabetic Ischemia

- Secondary Gout:
    - Myeloroliferative disorders (polycythemia, AGL, CGL)
    - Multiple Myeloma;
    - Sickle Cell;
    - Prolonged use of Diuretics

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Tuesday, September 13, 2011 1:50 pm