@glp1.er.pamom45: I’m very familiar with gout. But I have never seen Tophi from gout this big. Long term gout attacks can cause Tophi - hard chalky lumps under the skin. Made of build up Monosodium Urate crystals. Gout is a type of inflammatory arthritis caused by the buildup of uric acid crystals in the joints. It often comes on suddenly and is extremely painful, most commonly affecting the big toe, but it can affect other joints as well (e.g., ankles, knees, elbows, fingers). 🔍 Causes of Gout • High uric acid levels in the blood (hyperuricemia), which may result from: • Diet high in purines (e.g., red meat, organ meats, seafood, alcohol—especially beer, sugary drinks) • Obesity • Kidney disease • Certain medications (like diuretics) • Genetics ⚠️ Symptoms of Gout • Sudden and intense joint pain • Swelling • Redness and warmth over the affected joint • Limited range of motion • Often begins at night 🧪 Diagnosis • Joint fluid test (to identify uric acid crystals) • Blood test (to measure uric acid levels) • Imaging (X-ray, ultrasound, or dual-energy CT scan) 💊 Treatment Options During an Acute Flare-Up • NSAIDs (e.g., ibuprofen, naproxen) • Colchicine • Corticosteroids (oral or injected) For Long-Term Management • Lifestyle changes (diet, weight loss, hydration) • Urate-lowering therapy (ULT) if attacks are frequent: • Allopurinol • Febuxostat • Probenecid 🍎 Lifestyle & Diet Tips • Limit high-purine foods: red meat, shellfish, liver • Avoid alcohol and sugary soft drinks • Drink plenty of water • Lose excess weight • Exercise regularly, but avoid strenuous activity during flares. #gout #tophi #inflammation #uricacid #healthcareworkers #physicianassociate #signsandsymptoms #scrublife

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Friday 04 July 2025 19:17:31 GMT