الجمعة، 3 أغسطس 2012

Tests for gout

Synovial fluid: When patients with the acute inflammation hinge and one is the withdrawal of synovial fluid synovial fluid from the detailed analysis is crucial, to the exclusion of arthritis due to infection, infectious arthritis, and to confirm the diagnosis of gout or gout pseudo pseudogout according to identify crystals, in cases of gout are recognized crystals of salts of uric acid fluid albumin and the presence of these crystals cells with polarization of the light microscopic examination of polarizing light microscopy confirms the diagnosis, and crystals of salts of uric acid needle-like and have pointed the two parties while the crystals of gout false (pyrophosphate calcium calcium pyrophosphate) in the form of bacilli to blunt the Parties, Farm work can also be bacterial synovial fluid and the work of test sensitivity to antibiotics, can also examine the work of synovial fluid cell.

    
Uric acid blood: the more tests that misused in the diagnosis of gout, presence of an increase in uric acid in the blood without symptoms does not mean the presence of gout, and about 10% of gout patients who complain of symptoms of the level of uric acid in the normal level during seizures, as that the level of uric acid and may be less reason for the occurrence of seizures, but the lineage prior to the occurrence of seizures be high, and about 5-8% of people have their blood uric acid over 7 mg / dl, while 5-20% of those who have increase acid uric blood are the ones who are diagnosed as patients with gout, and some patients who suffer from arthritis AEA and have detailed a warm and swollen may be the level of uric acid blood have a high, has an error occurs in the diagnosis if it is not the withdrawal of synovial fluid and examined, and the people who do not have symptoms does not give them treatment in general, and when you increase the uric acid blood of 11 mg / dl with the increase in excreted urine test should be performed and the kidney functions because these people are willing to be kidney stones and the occurrence of renal failure, and with high uric acid blood, the risk of injury gout of the question.

    
Uric acid in the urine of 24 hours: and that when you take the patient to drugs increase the excretion of uric acid in urine, and when the secretion of more than 800 mg / 24 hours must be given to the patient's medication allopurinol allopurinol instead of Albroobancisd Probenecid to reduce the level of uric acid, and when the secretion of more than 1100 mg / 24 hours you must work test and kidney functions where the risk composition of stones and the occurrence of ill-renal due to precipitation of salts of uric acid kidney, and patients with a history of patients to be kidney stones or renal failure do not give Albroobancisd, and give them Aloloubeyoreynol without the need for the work of uric acid in 24 hours .

    
Blood chemical analysis, such as kidney function, and liver function, and blood sugar level before giving treatment.

    
Count of white blood cells: increase in patients with gout during an acute attacks, especially in cases involving more than one joint.

    
The proportion of triglyceride blood: and where the height of the companion of gout as well as the lack of high-density lipids.

    
Analysis of the work of Paul: to detect the presence of blood in urine hematuria due to the presence of stones.
Radiology tests:


    
Ray examination may reveal the presence of soft tissue swelling of the soft-tissue swelling, and a contract, and bone erosion.
Tissue tests:

 
The contract can be seen in all tissues except the brain tissue.

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