81. Gout - Gouts - Information Page With HONselect Hereditary metabolic disorder characterized by recurrent acute arthritis, hyperu http://www.hon.ch/HONselect/Selection/C05.550.114.423.html

InitBulle("navy","#F8F8F8","#000066",1); HONcode sites All Web sites HONselect News ... Images HONselect Search English French German Spanish Portuguese the word the part of word in MeSH term in MeSH term and description Information on "Gout": Medical hierarchy and definition Research Articles Web resources Medical Images Medical News Medical Conferences Clinical Trials Hierarchy English French German Spanish Portuguese Gout Definition: Hereditary metabolic disorder characterized by recurrent acute arthritis, hyperuricemia and deposition of sodium urate in and around the joints, sometimes with formation of uric acid calculi. Synonym(s): Gouts / Narrow term(s): Arthritis, Gouty See also: Gout Suppressants Hypoxanthine Phosphoribosyltransferase Browse New search Web resources for "Gout" English French German Spanish Portuguese = Site with HON description - = Site with a robot description info: enter the site: (click below) domain of the site: HONcode - eMedicine - Gout : Article by Mark L Francis, MD www.emedicine.com Gout and Hyperuricemia - February 15, 1999 - American Academy of Family Physicians www.aafp.org HONcode - Gout www.healthatoz.com

82. Gout Most patients with gout experience repeated attacks of arthritis over the years.Conditions other than septic arthritis that can mimic gout include http://www.ncemi.org/cse/cse0910.htm

More Emergency Medicine Resources Back to table of contents 9.10 Acute Gouty Arthritis Presentation Usually a male patient over 50 years old with an established diagnosis of gout or hyperuricemia rapidly develops an intensely painful monarticular arthritis, often in the middle of the night, but sometimes a few hours following a minor trauma. Any joint may be affected, but most common is the metatarsophalangeal joint of the great toe (podagra). The joint is red, hot, swollen, and intensely tender to touch or movement. There is usually no fever, rash, or other sign of systemic illness. The patient may have predisposing factors that increase his risk of developing gout, like obesity, moderate to heavy alcohol intake, high blood pressure, diabetes and abnormal kidney function, or he may be taking certan drugs including thiazide diuretics, low-dose aspirin, and tuberculosis medications (pyrazinamide and ethambutol). What to do: If the patient has not been previously diagnosed by arthocentesis that showed crystals, then tap the involved joint as described in acute monarticular arthritis . In addition to ruling out infection, look under the microscope for crystals in the joint fluid. Urate crystals look like needles, and may be in white cells. Polarizing filters above and below the sample can help disclose and differentiate crystals.

83. Footcare Direct - Gout gout gout (hyperuricemia or elevated uric acid) is a systematic disorder thataffects gout is the end result of a buildup of uric acid in the blood. http://www.footcaredirect.com/gout.html

NAVIGATION: GENERAL INFO: Anatomy of a Foot Foot Problems Foot Care Tips Tips on Shoes Children's Feet How You Walk Foot Facts Quiz What is a Podiatrist? SPECIFIC AILMENTS: Ankle Sprain Arthritis Athlete's Foot Bone Spurs Burning Feet Bunions Charcot Foot Circulation Corns, Calluses, IPK Diabetes Diabetic Hygiene Dry Cracked Heels Endoscopic Surgery Flat Feet Foot Odor Foot Ulcers Fungus Fungus Nails Gout Haglund's Deformity Hammertoes Heelspur Ingrown Nails Metatarsal (callus) Neuroma Neuropathy Orthotics Plantar Fasciitis Shin Splint Stress Fractures Sweaty Feet Tailor's Bunion Tarsal Tunnel Tendonitis Ugly Nails Warts Gout G out (hyperuricemia or elevated uric acid) is a systematic disorder that affects the big toe joint. Gout is the end result of a build-up of uric acid in the blood. The uric acid crystallizes and settles in the joints in the body, most often in the big-toe joint. When it does so, it produces an excruciating pain. The onset of an attack of gout can be sudden and vicious. It is not uncommon for the victim to be awakened by this excruciating pain in the middle of the night. (Gout is often confused with Osteoarthritis, a condition that is characterized by a much slower onset of pain, and seems worse after a person has been walking or running.) Gout is generally thought to be a hereditary disease, but there are many causes: increased purine intake (*see

84. Gout - David L. Hoffmann B.Sc. (Hons), MNIMH - HealthWorld Online HealthWorld Online is the Internet s leading resource on alternative medicine,wellness, and mind/body health, featuring the Wellness Inventory whole person http://www.healthy.net/library/books/hoffman/musculoskeletal/gout.htm

85. Gout This is the website for the Division of Rheumatology and Immunology at theUniversity of Virginia Health System. http://www.healthsystem.virginia.edu/internet/rheumatology/gout.cfm

[ Skip Navigation ] Health System Home For Health Answers Healthcare Professionals ... Advanced Search Health System Search Search for Information People UVa Home Health System News Health System Events (all) Health System Publications ... Site Index Site Search Search this site: Disease of the Month Definition The pain and swelling associated Enlarged circle shows microscopic view of urate crystals. You wake up in the middle of the night, and your big toe feels as if it's on fire. It's hot, swollen and so tender that the weight of the blanket on it is nearly intolerable. Gout has been recognized for more than 2,000 years, making it one of humankind's oldest known diseases. In the past, gout was often known as "the disease of kings" because it was associated with wealthy men who overindulged in rich food and drink. Today, it's known that gout is a complex disorder that can affect anyone. In fact, it's a painful problem for more than 2 million Americans. It's true that men are more likely to get gout, but women become increasingly susceptible to it after menopause. Fortunately, gout is treatable, and there are ways to keep it from recurring. Causes of Gout Almost all people who have gout have too much uric acid in their blood, a condition called hyperuricemia. However, there are many people who have hyperuricemia but not gout.

86. Gout Detailed information on gout, including causes, symptoms, diagnosis, and treatment. http://www.healthsystem.virginia.edu/uvahealth/adult_arthritis/gout.cfm

[ Skip Navigation ] Health System Home For Health Answers Healthcare Professionals ... Advanced Search Health System Search Search for Information People UVa Home Health System News Health System Events (all) Health System Publications ... Making a Gift Topics All About Cancer Blood Disorders Bone Disorders Breast Health Cancer Cardiovascular Disease Dermatology Diabetes Digestive Disorders Endocrinology Environmental Medicine Eye Care Glossary Gynecological Health Infectious Diseases Kidney Disease Men's Health Mental Health Nervous System Disorders Non-Trauma Emergency Oral Health Orthopaedics Otolaryngology Pathology Pediatrics, General Health Prostate Health Radiology Respiratory Disorders Skin Cancer Surgical Care Urology Women's Health UVa Health Topics A to Z FIND A DOCTOR Arthritis and Rheumatology General Orthopaedic Surgery Joint, Hip and Knee Replacement ... WHY CHOOSE UVA Search This Site Gout What is gout? Gout is characterized by inflamed, painful joints due to the formation of crystal deposits at the joints. Also known as "the disease of kings and the king of diseases," gout affects more men than women and is often associated with obesity, hypertension (high blood pressure), hyperlipidemia (high levels of lipids in the blood), and diabetes. What causes gout?

87. I Cured My Gout Personal account from a sufferer. http://www.icuredmygout.org/

I Cured My Gout Click here to enter http://homepage.mac.com/umber_/icuredmygout/ namesdirect.com - Register your domain name

88. THE MERCK MANUAL, Sec. 5, Ch. 55, Crystal-Induced Conditions Overview of the signs, symptoms, diagnosis, prognosis and treatment of gout. http://www.merck.com/pubs/mmanual/section5/chapter55/55a.htm

var locationOverride = "http://www.merck.com/pubs/"; This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 5. Musculoskeletal And Connective Tissue Disorders Chapter 55. Crystal-Induced Conditions Topics Gout Idiopathic Hyperuricemia Calcium Pyrophosphate Dihydrate Crystal Deposition Disease Basic Calcium Phosphate And Other Crystal Disorders Gout A recurrent acute or chronic arthritis of peripheral joints that results from deposition in and about the joints and tendons of monosodium urate crystals from supersaturated hyperuricemic body fluids. Pathophysiology Tophi are MSU crystal aggregates. They are large enough to first be seen on x-rays of the joints as punched-out lesions and later seen or felt as subcutaneous nodules. At the acid pH of urine, uric acid itself is precipitated readily as small platelike crystals that may aggregate to form gravel or stones, which may cause obstructive uropathy. Sustained hyperuricemia is usually caused by decreased renal clearance of urate, especially in patients receiving chronic diuretic therapy and in patients with primary renal diseases that decrease GFR. The greater the degree and duration of hyperuricemia, the greater the chance of crystal deposition and of acute attacks of gout. However, many hyperuricemic persons never develop gout. The serum urate level reflects the size of the extracellular miscible urate pool, which normally turns over once every 24 h; 1/3 of the urate is excreted in the feces, and 2/3 in the urine. Normal 24-h urinary uric acid excretion is 300 to 600 mg after 3 days on a low-purine diet or about 600 to 900 mg on a regular diet. Therefore, food intake accounts for about 450 mg of uric acid daily. Hyperuricemia and gout are common complications in patients receiving cyclosporine for organ transplants. Mean urate levels in premenopausal women are about 1 mg/dL (0.6 mmol/L) lower than those in men, but after menopause the levels approach those of men.

89. Gout Questions and Answers About gout. Bethesda, MD NIAMS, 2002. NIH Publication No.025027. www.niams.nih.gov/hi/topics/gout/gout/htm. http://www.healthatoz.com/healthatoz/Atoz/ency/gout.jsp

90. Gout a CHORUS notecard document about gout. gout. elevated uric acid. xray features.multiple, sharply marginated punched out erosions with sclerotic rims http://chorus.rad.mcw.edu/doc/01035.html

CHORUS Collaborative Hypertext of Radiology Musculoskeletal system About CHORUS Search Feedback gout elevated uric acid x-ray features: multiple, sharply marginated punched out erosions with sclerotic rims (assymetric in distribution unlike RA ) sometimes associated with soft tissue masses representing tophi good bone denstity (unlike RA) "overhanging edge" sign of some erosions (i.e. well-defined protruding shelf of bone at the margins of erosion) negative birefringence unilateral sacroiliitis Brian Funaki, MD - 6 February 1995 Last updated 26 May 2004 Related CHORUS documents: sacroiliitis rheumatoid arthritis: joint manifestations small bowel lymphoma syringomyelia / hydromyelia ... chondrocalcinosis Search for related articles: AJR American Journal of Roentgenology PubMed : index to biomedical literature ... Medical College of Wisconsin

91. The Purine Metabolic Patients Association - PUMPA Charity and patient support organization for those with gout and related disorders. http://www.pumpa.org/

92. Hardin MD : Gout From the University of Iowa, the *best* lists of Internet sources in gout. http://www.lib.uiowa.edu/hardin/md/gout.html

Gout A service of the University of Iowa Site Map Diseases Home ... Diseases Search Hardin MD See also: Home Arthritis Foot Popular Women's Health Dermatology Nursing Pharm Infect Disease Arthritis Pictures Carpal Tunnel Syndrome +Pictures Foot Problems Pictures Graves Disease +Pictures High Blood Pressure +Pictures Hypothyroidism +Pictures Immune System +Pictures Kidney Diseases Kidney Stones +Pictures Lupus +Pictures Medical Pictures Skeletal System +Pictures Tendonitis +Pictures Gout Pictures LookSmart : MEDLINE plus National Library of Medicine Karolinska : Gout Medical Library, Karolinska Institute, Sweden Open Directory Project : Health : ... : Gout (Other versions: Google Yahoo : Gout Gout US Government Gout Pictures Gout Mediscan clipart library, London, United Kingdom Gout (Scroll down for pictures) Alan Matsumoto, Johns Hopkins Univ MEDLINEplus Health Encyclopedia : Acute gouty arthritis Chronic gouty arthritis A.D.A.M. / National Library of Medicine Gouty arthritis Dermatology Online Atlas (DermIS), Univ Erlangen/Univ Heidelberg, Germany Hardin Library for the Health Sciences , University of Iowa Please send comments to hardin-webmaster@uiowa.edu

93. Gout Overview of gout, also known as chronic gouty arthritis. http://www.labtestsonline.org/understanding/conditions/gout.html

TESTS Test not listed? A/G Ratio ACE ACT ACTH AFB Culture AFP Maternal AFP Tumor Marker Albumin Aldolase Aldosterone Allergies ALP Alpha-1 Antitrypsin ALT Ammonia Amylase ANA Antibody Tests Antiglobulin, Direct Antiglobulin, Indirect Antiphospholipids Antithrombin Apo A Apo B ApoE Genotyping aPTT AST Autoantibodies Bicarbonate Bilirubin Blood Culture Blood Gases Blood Smear BMP BNP Bone Markers BRCA BUN C-peptide CA-125 CA 15-3 CA 19-9 Calcitonin Calcium Cardiac Biomarkers Cardiac Risk Cardiolipin Antibodies Catecholamines CBC CCP C. diff CEA Celiac Disease Tests CF Gene Mutation Chemistry Panels Chlamydia Chloride Cholesterol CK CK-MB CMP CMV Coagulation Factors Complement Levels Cortisol Creatinine Creatinine Clearance CRP CRP, high-sensitivity

94. La Semaine Du Gout http://www.legout.com/

95. Clinical Features gout is a syndrome caused by an inflammatory response to the formation of monosodium Hyperuricemia is clearly a risk factor for the development of gout, http://www.arthritis.co.za/gout.html

Gout by drdoc on-line Index Definition Clinical features Acute Gout Chronic Gout ... Diet Gout is a syndrome caused by an inflammatory response to the formation of monosodium urate monohydrate crystals which develop secondary to hyperuricemia. Acute and chronic forms are recognized. Hyperuricemia may be due to environmental and/or genetic factors. Clinical features Most commonly affects middle-aged males. It is an acute and usually relapsing self-limiting arthritis. A Chronic form associated with collections of crystals - tophus formation occurs, and bone and joint destruction can occur. It is commonly associated with Obesity Heavy alcohol intake Hypertension Renal impairment Diuretic use. It especially involves the first metatarsophalangeal joints especially the big toe, heels, ankles and knees. Gout has been called the ‘disease of kings’. The term ‘gout’, is derived from Latin ‘gutter’ (a drop) which reflects the notion that gout resulted from a local instillation of malevolent humour. These concepts are well illustrated in paintings of persons afflicted with gout. It is also seen as a "disease of plenty - which is an incorrect generalization. Hyperuricemia has been defined as a serum or plasma urate concentration greater than 7.0mg/dl (0.42mmol/l) in males

96. UniProt Knowledgebase Keyword: Gout Protein which, if defective, causes gout, a recurrent acute arthritis of peripheraljoints libs={swiss_prot}keywords gout libs-keywords gout. http://www.expasy.org/cgi-bin/get-entries?KW=Gout

97. InteliHealth: Gout InteliHealth Featuring Harvard Medical School s consumer health information.For more than 550 diseases and conditions, learn What Is It?, Symptoms, http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/9487.html

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98. Gout - Vitacost gout is a form of arthritis that occurs when crystals of uric acid accumulate ina joint, leading to the sudden development of pain and inflammation. http://www.vitacost.com/science/hn/Concern/Gout.htm

My account View cart / Checkout Help Since 1994 Over 1.5 Million Served! Email us Enter keyword or item number Products Health Library Clearance New Products Products Categories ... VitaBlog New! eNewsletter Archives Your Right to Privacy Customer Service Ordering Methods Shipping Information EZShip! 5 Star Guarantee ... Download Order Forms Still have questions? Talk to one of our friendly customer service representatives using Live Chat Science Health Notes Encyclopedia Product Reviews Age Related Macular Degeneration News News Room eNewsletter Archives Vitacost News Releases Additional Resources Physician's Reference Guide and Discount Program Special Discounts walkerdiet.com drkoop.com ... Join our affiliate program! Healthnotes Index: All Healthnotes Indexes Foodnotes Health Concerns Herbal Remedies Homeopathy Recipes Recipes by Course Recipes by Main Ingredient Recipes International Recipes Seasonal Safetychecker Skin Conditions Special Diets Special Recipes Vitamin Guide Weight Control Health Center Search Healthnotes: Gout Skip to: About Checklist Symptoms Treatments ... References Gout is a form of arthritis that occurs when crystals of uric acid accumulate in a joint, leading to the sudden development of pain and inflammation.

99. Gout - Vitacost gout is a painful condition resulting from the buildup of uric acid crystals inor around a joint. Diet, genetics, and certain medications may be http://www.vitacost.com/science/hn/Homeo/Gout_hm.htm

My account View cart / Checkout Help Since 1994 Over 1.5 Million Served! Email us Enter keyword or item number Products Health Library Clearance New Products Products Categories ... VitaBlog New! eNewsletter Archives Your Right to Privacy Customer Service Ordering Methods Shipping Information EZShip! 5 Star Guarantee ... Download Order Forms Still have questions? Talk to one of our friendly customer service representatives using Live Chat Science Health Notes Encyclopedia Product Reviews Age Related Macular Degeneration News News Room eNewsletter Archives Vitacost News Releases Additional Resources Physician's Reference Guide and Discount Program Special Discounts walkerdiet.com drkoop.com ... Join our affiliate program! Healthnotes Index: All Healthnotes Indexes Foodnotes Health Concerns Herbal Remedies Homeopathy Recipes Recipes by Course Recipes by Main Ingredient Recipes International Recipes Seasonal Safetychecker Skin Conditions Special Diets Special Recipes Vitamin Guide Weight Control Health Center Search Healthnotes: Homeopathic Remedies for Gout Also indexed as: Arthritis (Gout) Skip to: Introduction Remedy options Amount to take Gout is a painful condition resulting from the buildup of uric acid crystals in or around a joint. Diet, genetics, and certain medications may be contributing factors. Homeopathic remedies can provide a measure of relief during painful attacks of joint pain and inflammation. A constitutional remedy prescribed by an experienced homeopath may help to reduce the likelihood of further episodes.

100. Gout CHC Wausau Hospital s Medical Library and Patient Education Center providesresearch services and healthcare information to physicians, http://www.chclibrary.org/micromed/00049650.html

Main Search Index Definition Description Causes ... Resources Gout Gout, a form of acute arthritis, most commonly occurs in the big toe. It is caused by high levels of uric acid in the blood, in which urate crystals settle in the tissues of the joints and produce severe pain and swelling. (Illustration by Electronic Illustrators Group.) Definition Gout is a form of acute arthritis that causes severe pain Description Uric acid, which is found naturally in the blood stream, is formed as the body breaks down waste products, mainly those containing purine, a substance that is produced by the body and is also found in high concentrations in some foods, including brains, liver, sardines, anchovies, and dried peas and beans. Normally, the kidneys filter uric acid out of the blood and excrete it in the urine. Sometimes, however, the body produces too much uric acid or the kidneys aren't efficient enough at filtering it from the blood, and it builds up in the blood stream, a condition known as hyperuricemia. A person's susceptibility to gout may increase because of the inheritance of certain genes or from being overweight and eating a rich diet. In some cases, another disease (such as lymphoma, leukemia, or hemolytic anemia ) may be the underlying cause of the uric acid buildup that results in gout.

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