Roger's Painful Toe

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Mind Map on Roger's Painful Toe, created by aa aa on 20/03/2020.
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Mind Map by aa aa, updated more than 1 year ago
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Resource summary

Roger's Painful Toe
  1. Roger, a 50-year-old come to the clinic complaining of a painful great toe, the toe hurts on the mildest contact, and he is not able to stand on his foot.
    1. DDx
      1. Gout
        1. Definition
          1. Gout is a syndrome characterized by: hyperuricemia and deposition of urate crystals causing attacks of acute inflammatory arthritis
          2. Etiology
            1. There is a causal relationship between hyperuricemia (high urate level) and gout. Urate is a metabolite of purines and the ionized form of uric acid (a weak acid at a physiologic pH); hence, uric acid exists mostly as urate. Hyperuricemia does not always lead to gout, but the incidence of gout increases with urate level.
              1. Pathophysiology
              2. Risk factors
                1. Management
                  1. Acute
                    1. Recurrent
                    2. Diagnosis
                      1. Investigations
                      2. Pseudogout
                        1. Arthritis
                          1. Septic arthritis
                            1. Rheumatoid Athritis
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