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Independents' Day

Five-minute refresher - gout

In the second of our series, musculoskeletal GPSI Dr Adrian Dunbar outlines essential information on both acute and chronic gout.

Click on the file to the right to download a large, printable version of this flowchart.

Gout flowchart

Dr Adrian Dunbar is a GPSI in musculoskeletal medicine in Yorkshire

The UK Gout Society is a registered charity which provides basic information to people living with gout, their families, friends and carers. Its goal is to increase public awareness about this painful, potentially disabling, but very treatable, disorder.  For more information visit:

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  • rate is 5 star, very good, good for review and very useful for daily practice . I recommend all dr (g.p.) should read

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  • Nice precise article. Monthly urate levels in order to titrated allurinol may prove tricky given the population that present with gout are usually men in their 50's who are overweight, with untreated high bp and who very rarely visit their GP.

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  • 5 stars definitely

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  • A common disorder and easily recognised but not so easy to treat

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  • The article claims that the first metacarpalphalangeal joint is most commnly affected in gout ... Is this an oversight / mistake ?
    Isn't the first metatarsalphalengeal joint the most commonly affected??

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  • What about cellulitis as a differential diagnosis? I would have thought that this is more common than the other differentials listed..

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