Gout

Alternate Name:

Test:

S.urate (H), synovial fluid microscopy (uratespresent), fluid WCC (H), 24 hour U.urates (L in underexcretors), ESR (H), WCC (H), S.creatinine (H)

Sign:

Dd:

Osteoarthritis, pseudogout, rheumatoid arthritis,trauma, synovitis, cellulitis, osteomyelitis, sar­coid, multiple myeloma, psoriatic arthritis, Reiter's syn., ankylosing spondylitis

Phys:

Excess intake of purines and under excretion of urates predisposes to high serum uric acid levels and crystal deposition in joints