General practice & prim · UKMLA & AKT

Gout

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise gout — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Most common inflammatory arthritis in adults; male predominance (4:1); women affected post-menopause (oestrogen is uricosuric)
  • Caused by monosodium urate (MSU) crystal deposition from sustained hyperuricaemia (>360 micromol/L)
  • 90% are under-excreters of urate; 10% are over-producers

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