Describe the causes of primary and secondary gout

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Mr. Bernard is a 90-year-old resident of a long term care facility. He tells the nurse he has an ache in his right foot. He suggests he might have stepped on something or twisted his ankle. "Maybe I got bit by a bug when I was outside yesterday". The nurse notes the medial aspect of Mr. Bernard's right ankle is reddened, slightly swollen and warm. His temperature is within normal limits. He has a strong pedal pulse bilaterally. Bernard's ankle is x rayed and there is no fracture noted. He has full range of motion in his ankle and lower extremity, although the pain in his ankle increases with movement. A Doppler ultrasound rules out deep vein thrombosis. Prior to the Doppler ultrasound, how could the nurse explain this procedure to the patient?

1. Define cellulitis and discuss common manifestations.

2. Briefly explain what gout is and describe the causes of primary and secondary gout.

3. What are the common characteristics of the four stages of gout?

- Mr. Jones, 22 yr old AA male, comes into the Emergency Room with an exacerbation of Sickle Cell crisis.

States his pain is a 20 out of 10.

1. Give examples of a non-pharmacologic pain relief.

2. Give examples of pharmacological pain relief.

3. Which would be appropriate for the physician to prescribe at this point.

Reference no: EM133242880

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