Uric acid-2

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Topic: Uric acid-2

Posted on: November 24, 2016

Patient no 1
A 51 years old male develops pain, swelling and redness on his right big toe. His
laboratory investigations revealed:

• TLC: 12 x 109/L
• ESR 92 mm after 1st hour
• Uric Acid: 234 μmol/L
• Treating physician has sought your opinion regarding the diagnosis of gout in this patient.

a. Name the test and the likely finding which can confirm gout in this patient.

b. When serum uric acid should be repeated in this patient to obtain a meaningful result?
a. Monosodium Urate crystals in joint aspirate which give negative
b. birefringence on polarized microscopy.
At least 2 weeks after the symptoms are over
Ref No 1
Clinical manifestations and diagnosis of gout
www.UpToDate.com 2015

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