Identify key symptoms presented that will help

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Reference no: EM133858992

Question: Patient is a 44 year old male presenting with swollen, painful, red left knee for 2 days. Reports he is unable to bear weight on that leg. He is now also having toe pain. Symptoms started after the weekend when he attended a BBQ where he had 4 beers with his meal. He denies fever, rash or injury. BMI is 32. History of HTN, takes Hydrochlorothiazide, and works as a floor installer. Hire best assignment help service online! Hire best assignment help service online!

Aspiration of synovial fluid:

Monosodium urate (MSU) crystals positive

Lab results

Lab Result Reference Range

Uric Acid 8 3.5 and 7.2 mg/dL

ESR 65 0-15 mm/hr

CRP 10.5 <0.3 mg/dL

Questions:

Identify key symptoms presented that will help to determine the diagnosis.

- Swollen, painful red knee joint

- No related injury

- Recent alcohol consumption

- Labs support acute gout flare

Explain the musculoskeletal pathophysiologic processes of why the patient presents these symptoms.

- Excess uric acid in the bloodstream from renal issues, purine-rich diet, alcohol, etc

- Urate crystals travel to and stay in the joint spaces

- The accumulation of crystals in the joints causes inflammation and severe pain

Explain how obesity plays a role in the progression of osteoarthritis/gout in the knee joints.

- Hx of installing flooring can lead to osteoarthritis

- Excess weight leads to more stress on the joints

- Excess weight shown to be directly related to higher serum urate levels

- Obesity can stress the kidneys, which makes it more difficult for the body to eliminate uric acid

Explain risk factors that may contribute to the development of the disease.

- Obesity

- Diet high in purines

- Male

Medication

Reference no: EM133858992

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