When to treat monoarticular arthritis for gout

By  |  September 11, 2010 | 

This was a large prospective evaluation of patients with acute monoarticular arthritis, all of whom underwent diagnostic joint aspiration along with physical exam and lab evaluation. Based on a clinical scoring system, researchers found gout present in only 3% of patients with a low clinical score (<4) and 80% of those with a high score (>8). They recommend those with a high score be empirically treated, and those with scores between 4-8 undergo joint aspiration. [The clinical scoring system: Uric acid >5.8 mg/dL (3.5 points), 1st MT joint (2.5 points), Male (2 points), previous gout (2 points), HTN, >1 vascular syndrome, or CHF (1.5 points), Joint redness (1 point), 1 day onset (0.5 points)]. The scoring system can be very valuable for patients with acute monoarticular arthritis (abstract)

About the Author:

Danielle Scheurer
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.

Categories

Related Posts

By  | June 4, 2018 |  0
The question of appropriate ward garb is a problem for the ages. Compared to photo stills and films from the 1960s, the doctors of today appear like vagabonds. No ties, no lab coats, and scrub tops have become the norm for a number (a majority ?) of hospital-based docs—and even more so on the surgical […]
By  | May 1, 2018 |  0
Prices from a chargemaster are “what a drunken billionaire would pay a hospital if his wife were not around to control the bastard.” — Uwe Reinhardt You might be asking why such an outlandish quote? Last week CMS proposed* to change the way patients see the costs of hospital bills.  So what you might utter. […]
By  | April 3, 2017 |  0
“Membership in the American Academy of Professional Coders has risen to more than 170,000 today from roughly 70,000 in 2008.” “The AMA owns the copyright to CPT, the code used by doctors. It publishes coding books and dictionaries. It also creates new codes when doctors want to charge for a new procedure. It levies a […]

Leave A Comment