Hello!
Hyperuricemia can involve the following:
Symptoms â men, severe pain, swelling, redness, warmth, first MTP joint (podagra).
Physical Exam â
Inspection (tophi)
Palpation (very painful)
Next Steps
Diagnosis â WBC (elevated)
Uric acid (elevated), BUN/Cr Joint aspiration w/ synovial fluid analysis (monosodium urate crystals - shaped like needles) ⢠24 Hour urine uric acid
Health Tips
Treatment â no alcohol, no organ meats. Acute: Indomethacin 25-50 TID x 10-14 days Colchicine 1.2mg PO x 1, then 0.6mg PO after 1 hour Ongoing: ⢠Underexcretion â probenacid 250 - 1000mg PO BID ⢠Hyperexcretor/overproducer - allopurinol 100mg PO QD