gout diagnostic rule
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Procedure
Table
| observation | value |
|---|---|
| male | 2.0 |
| prior attack of arthritis (self reported) | 2.0 |
| onset within 24 hour | 0.5 |
| erythema (over joint) | 1.0 |
| first metatarsophalangeal joint involvement | 2.5 |
| hypertension or cardiovascular disease | 1.5 |
| serum urate >= 5.88 mg/dL | 3.5 |
| - | - |
| Total | 13 |
Interpretation
- score >= 8: treat as gout
- score > 4 & < 8: joint aspiration
- score < 4: probablity of gout < 3%
More general terms
References
- ↑ Janssens HJEM et al. A diagnostic rule for acute gouty arthritis in primary care without joint fluid analysis. Arch Intern Med 2010 Jul 12; 170:1120. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20625017
- ↑ Gout calculator UMC St Radboud http://www.umcn.nl/Research/Departments/eerstelijnsgeneeskunde/Pages/Jichtcalculator.aspx