8 Scenarios contain the text: 'gout' |
| Title | Description |
|---|---|
| Gout / acute pain and swelling of knee | A 56 year old Samoan man is admitted to hospital with an acute myocardial infarction. He has a history of hypertension treated with a thiazide diuretic, type 2 diabetes that is diet controlled, hyperlipidaemia and high alcohol consumption. Three days following his admission to hospital he develops acute pain and swelling of his knee. D/O: Musculoskeletal System (•••), Rheumatology (•••), Hauora Māori (••) PTT: Musculoskeletal |
| Swollen and tender joints | A 40 year old Fijian Indian woman presents to her GP with a several week history of painful, stiff joints in her hands and feet. It takes her over an hour in the morning to 'get going'. She is feeling much more tired than usual and has lost 3 kg in weight over the last 2 months. Clinical examination revealed 22 swollen joints (all the MCP, PIP and wrist joints) and 22 tender joints (all the MCP, PIP and wrist joints). The metatarsal squeeze test was positive. D/O: Musculoskeletal System (•••), Rheumatology (•••) PTT: Musculoskeletal |
| Chronic kidney disease / asymptomatic worsening renal function | A 45 year old Māori man is referred to you from by his GP. He was diagnosed with diabetes 15 years ago and routine monitoring of his renal function demonstrates a steadily increasing serum creatinine level. Renal ultrasound reveals small echogenic kidneys. His blood pressure is 150/92 mmHg. D/O: Genitourinary System (•••), Renal Medicine (•••), Ethics (••) PTT: Renal |
| Reactive arthritis | A 22 year old NZ European man presents to the Emergency Department with knee and ankle pain. He fell down the steps at home during the weekend. Further history reveals he has had burning pain on urination for over a week. On examination he has redness of the eyes, a swollen left knee and tenderness at the heels. D/O: Musculoskeletal System (•••), Rheumatology (•••), Immunology (••), Infectious Diseases (•) PTT: Musculoskeletal |
| Regional limb pain | A 53 year old NZ European female presents with pain in her right shoulder that is worse with movement and restricts her range of motion. She states the pain has been present for the past 6 months and has developed gradually. It has become worse this week after she had a minor fall. The pain is now affecting her occupation as a bartender and causing her to have multiple days off work. D/O: Musculoskeletal System (•••), Orthopaedics (•••), Rheumatology (•••) PTT: Musculoskeletal |
| Chronic limb pain | A 95 year old NZ European woman comes to see you at your GP practice. She has noticed that her legs hurt when she walks. It is much worse when going uphill and she has to stop on the way to the shops and rest. She says she has taken 'loads of tablets' since her heart attack five years ago. You notice an ulcer on her leg. D/O: Cardiovascular System (•••), General Surgery (•••) PTT: Cardiovascular |
| Knee injury | A 26 year old Cook Island male presents with pain and swelling of his right knee after a twisting injury sustained over the weekend whilst playing rugby league. He has noticed that the knee seems to 'give way' since the injury. D/O: Musculoskeletal System (•••), Orthopaedics (•••) PTT: Musculoskeletal |
| Knee pain | A 70 year old Māori woman with a 1 year history of worsening knee pain underwent a left total knee joint replacement 6 weeks ago. She is a local kaumātua, helping to run a training programme for Māori youth, and usually plays bowls twice a week. She now presents with 5 days of increasing pain and swelling in this knee. She had a rigor and when she measured her temperature last night it was 38.8°C. Her left knee is markedly swollen, hot to touch and she cannot walk because of the pain. D/O: Infectious Diseases (•••), Musculoskeletal System (•••), Orthopaedics (•••), Rheumatology (•) PTT: Musculoskeletal |
| Title | Description |
