Patient Education Paper - Gout

1253 WordsMar 16, 20146 Pages
General Knowledge - Gout Angela Nicotra Lone Star College Abstract Patient is a 69 year old male admitted into the hospital with osteomyelitis in his 1st, 2nd and 3rd phalange of his right foot and the 1st metatarsal of his left foot. The patient has a history of bronchitis, diabetes mellitus, hypertension, mitral valve prolapse, sleep apnea, restless leg syndrome, obesity and glaucoma. Surgical history includes appendectomy, hernia repair, lumpectomy of left breast and routine colonoscopies. Patient has no known allergies and his medications include: * Aspirin 80 mg, Q24h | * Gabapentin, 300mg, TID | * Cefepime, 2g, TID | * Glipizide, 5mg, TID | * Citalopram, 40mg, Q24h | * Metoprolol, 50mg, BID | * Clotrimaxole, 10mg, Q24h | * Prednisone, 10mg, BID (WM) | * Collagenese, 1application, Q24h | * Timolol Opthamalic, 1 drop/eye, Q24h | * Diphenhydramine, 12.5mg, BID | * Thera Multivitamin, 1 tab, Q24h | * Doxycycline, 100mg, BID | * Vancomycin, 2g, Q18h | * Fexofenadine, 180mg, Q24h | | The patient is wearing TED hose with significant erythema and edema in both lower extremes. Patient complains of pain and tenderness in both feet not associated with osteomyelitis. Upon inspection, noted edema +3 pitting. The patient's "comorbidities of obesity, diabetes mellitus, hypertension and taking a low dose aspirin daily and being a male over the age of 40 puts him at a higher risk for gout." (Ma, Cranney & Holroyd-Leduc, 2009) Gout is a "complex form of arthritis and occurs when urate crystals accumulate in the joint fluid" (Choi, Atkinson, Karlson, Willett & Curhan, 2004), causing the inflammation and the intense pain of a gout attack. Urate crystals can form when you have high levels of uric acid in your blood. The body normally produces uric acid when it breaks down purines, substances that

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