Does a serum uric acid level of mmol/l-need treatment

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The nature and extent of the qualifications required must depend primarily upon the judgment of the State as to their necessity. If they are appropriate to the calling or profession, and attainable by reasonable study or application, no objection to their validity can be raised because of their stringency or difficulty. It is only when they have no relation to such calling or profession, or are unattainable by such reasonable study and application, that they can operate to deprive one of his right to pursue a lawful vocation.

Few professions require more careful preparation by one who seeks to enter it than that of medicine. It has to deal with all those subtle and mysterious influences upon which health and life depend, and requires not only a knowledge of the properties of vegetable and mineral substances, but of the human body in all its complicated parts, and their relation to each other, as well as their influence upon the mind. The physician must be able to detect readily the presence of disease, and prescribe appropriate remedies for its removal. Every one may have occasion to consult him, but comparatively few can judge of the qualifications of learning and skill which he possesses. Reliance must be placed upon the assuranceiven by his license, issued by an authority competent to judge in that respect, that he possesses the requisite qualifications.

Question 1. What is the relationship between rheumatoid arthritis and weight loss? Can treatment aid the weight loss at the same time as controlling the disease?

Question 2. Can oral folic acid (1 mg/day) be used for high-dose methotrexate therapy with subsequent leucovorin rescue in the treatment of rheumatoid arthritis?

Question 3. How often should a patient, on 8 mg/day methylprednisolone for the treatment of rheumatoid arthritis and on osteoporosis prophylaxis in the form of 1000 mg calcium and 400 IU vitamin D daily, have a dual energy X-ray absorptiometry (DXA) scan to detect the development of osteoporosis?

Question 4 In what percent. ge of patients with psoriatic arthritis does the arthritis precede the onset of skin or scalp lesions?

Question 5. 1. Is reactive arthritis a synonym for Reiter's syndrome?.

2. It is said that Reiter's disease has been related to Chlamydia trachomatis infection. Is this correct?

Question 6. 1. Is the response of an acutely inflamed joint to colchicine pathognomonic of gouty arthritis?

2. We are told that, other than clinical tests, joint fluid microscopy is the specific diagnostic test for gout. What does joint fluid microscopy reveal? Is it the same as a polarized light study revealing needleshaped urate deposits?

Question 7. In the prevention of gout, should allopurinol be used for life in a patient who is hypertensive, alcoholic and overweight?

Question 8. Does a serum uric acid level of 5.7 mmol/L need treatment? Can it be significant with cholesterol levels of 213 mg/dL (5.5 mmol/L)? What is the treatment?

Question 9. In the diet of patients suffering from gout, should tea, coffee or other compounds containing methylxanthine products be restricted?

Question 10. 1. When do joints that appear slightly swollen, but not warm, need to be tapped?

2. In what circumstances might an immunologically suppressed patient not mount a fever or not have heat around a septic joint?

Reference no: EM133865381

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