Gout

1. Treatment

1.1. Chronic gout attack

1.1.1. Allopurinol

1.1.1.1. Started with this medication after the acute inflammation is subsided

1.1.1.1.1. To prevent another acute gout attack

1.1.2. Ibuprofen

1.1.2.1. Non-steroidal anti-inflammatory drug

1.1.2.1.1. Inhibits production of prostaglandin and other substances that induces inflammation

1.2. Lifestyle change

1.2.1. Avoid high-purine products

1.2.1.1. Meats, seafood

1.2.1.2. Alcohol

2. History of pain and swelling at the 1st metatarsophalangeal joint on and off for the last six months

3. Pain is usually precipitated after eating seafood and drinking beer

4. Mr Choo Ben Hong, 47-y/o man

5. Painful swelling of the right ankle of 2 weeks duration

6. Eating a high-purine diet (seafood and alcohol)

6.1. Derangement in purine metabolism

6.1.1. Hyperuricemia (high levels of uric acid in blood)

6.1.1.1. Monosodium urate crystals deposits in joint tissue

6.1.1.1.1. Forms tophi