Medication review: thiazides and loop diuretics can trigger gout
Acute management: NSAIDs, colchicine or corticosteroids
Prevention: allopurinol(NB: starting allopurinol can trigger an acute episode of gout so wait 2 weeks for symptoms to subside and offer NSAID/colchicine cover for first 1-3 months); febuxostat may be used if there is a contraindication to allopurinol
What are the classical features of gout on an X-ray?
What is pseudogout?
What are the findings of gout and pseudogout on polarising microscopy?