Kamienski Mary
St. Peter's College, Nursing Department, Montville, NJ, USA.
Orthop Nurs. 2003 Jan-Feb;22(1):16-20; quiz 21-2. doi: 10.1097/00006416-200301000-00006.
Gout is a painful form of arthritis that affects more than a million Americans annually. Using a case study, a discussion of the clinical onset, signs and symptoms, diagnosis, and treatment of acute and chronic gout is presented. The incidence and etiology of gout is presented, along with current diagnostic criteria and the most common differential diagnoses to consider. The current trends in diagnosing and treating the acute and chronic forms of gout are also addressed as well as some of the controversies and concerns about treatment options. The treatment plan and follow-up for the patient in the case presentation conclude the discussion.
痛风是一种疼痛性关节炎,每年影响超过100万美国人。通过一个病例研究,本文讨论了急性和慢性痛风的临床起病、体征和症状、诊断及治疗。介绍了痛风的发病率和病因,以及当前的诊断标准和需要考虑的最常见鉴别诊断。还讨论了急性和慢性痛风诊断和治疗的当前趋势,以及关于治疗选择的一些争议和关注点。病例介绍中患者的治疗计划和随访结束了本次讨论。