Gout Objectives: 

By the end of this 2-week module, residents should be able to:

Acute gout:

1) Describe 2 symptoms and 2 physical exam findings typically found in a patient presenting with acute gout.

2) Create a differential diagnosis of 2-3 conditions that cause acute monoarticular inflammatory arthritis.

3) Select appropriate synovial fluid tests to order in a patient with acute monoarticular inflammatory arthritis.

4) Describe typical synovial fluid results in a patient with acute gout.

5) Outline imaging findings in gout patients.

6) List 3 risk factors for the development of gout

7) List 3 treatment options for acute gout in a healthy patient. For each of these options, list common risk/benefits and contraindications.  

8) List different treatment options in more medically complex patient populations, such as patients with CKD, inpatients with complex medication lists and comorbidities, and patients with polyarticular flare. 

Chronic Gout:

9) Describe a necessary treatment strategy for treating chronic gout

9a) List 2 indications for chronic urate lowering therapy

9b) Define serum uric acid goals for urate lowering treatment in patients with gout 

9c) Define clinical scenarios where genetic testing is indicated before the initiation of ULT with allopurinol.

9d) Describe role of gout flare prophylaxis

10) Describe 3 lifestyle modifications that patients may enact to help prevent gout flares

11) Encourage collaboration and cross talk with rheumatology colleagues in management of gout including simple or complex patients