Sudden Onset of Severe Pain and Swelling in Right Great Toe

A 55-year-old male presents to the clinic with sudden onset of severe pain and swelling in his right great toe. The pain began abruptly last night and is accompanied by redness and warmth in the joint. He denies any recent trauma or injury. The patient has a history of hypertension and is overweight.

Prompt:

1. Differential Diagnoses:Based on the patient’s presentation, what are the potential differential diagnoses? Prioritize these diagnoses based on the patient’s clinical presentation and risk factors.
2. Diagnostic Workup:What diagnostic tests would you order to confirm your diagnosis? Explain the rationale for each test.
3. Treatment Plan:Develop a comprehensive treatment plan for the patient, including acute management of the gout attack and long-term management of hyperuricemia.
4. Patient Education:What important information should you provide to the patient regarding gout, lifestyle modifications, and medication adherence?

For peer response answer this:

• How would your treatment plan change if the patient had a history of kidney disease?
• What are the potential complications and how can they be prevented?

A 55-year-old male presents to the clinic with sudden onset of severe pain and swelling in his right great toe. The pain began abruptly last night and is accompanied by redness and warmth in the joint. He denies any recent trauma or injury. The patient has a history of hypertension and is overweight.

Prompt:

1. Differential Diagnoses:Based on the patient’s presentation, what are the potential differential diagnoses? Prioritize these diagnoses based on the patient’s clinical presentation and risk factors.
2. Diagnostic Workup:What diagnostic tests would you order to confirm your diagnosis? Explain the rationale for each test.
3. Treatment Plan:Develop a comprehensive treatment plan for the patient, including acute management of the gout attack and long-term management of hyperuricemia.
4. Patient Education:What important information should you provide to the patient regarding gout, lifestyle modifications, and medication adherence?

For peer response answer this:

• How would your treatment plan change if the patient had a history of kidney disease?
• What are the potential complications and how can they be prevented?