EULAR Recommendations for Acute Gout Diagnosis

Are you evaluating a patient for gout?

Yes

Pre-test probability for gout (enter a decimal fraction from 0 to 1)

Does/Has the patient ?

• had a rapid onset of pain and swelling reaching maximum within 6 to 12 hours?

Yes

• show erythema?

Yes

• have podegra (gouty pain in great toe)?

Yes

• have hyperuricemia?

Yes

• show asymmetric swelling on radiographs?

Yes

• show subcortical cysts without erosions on radiographs?

Yes

Select an appropriate answer for each finding

Tophi

Uric acid crystals in joint aspirate

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Cumulative product of the likelihood ratios

Post-test probability

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Clinical Diagnosis, Including Family History For Genetics
Criteria For Diagnosis
- Rule for Diagnosing Acute Gouty Arthritis
Complications
- Score of Schumacher et al for Evaluating a Patient with an Attack of Acute Gouty Arthritis
Differential Diagnosis And Mimics, Red Flags
- Criteria of Wallace et al for the Classification of Acute Gouty Arthritis (ARA Proposed Criteria)

Monitoring

Comorbid Conditions
- Comorbid Conditions That May Impact a Patient with Gout

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10

EULAR Recommendations for the Diagnosis of Acute Gout

Purpose: To identify a patient with gout based on the EULAR recommendations.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10