Pt with af and old pe on warfarin present with gouty attack
What the first line treatment
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12 Feb 2025
What obout nsaid in gouty attack
Question:
A 75 year old patient with a history of atrial fibrillation and a prior pulmonary embolism is currently being treated with warfarin. He presents with sudden onset of severe pain, redness, and swelling in his right big toe, along with a high fever. On examination, he has a tender, warm, and erythematous joint with limited range of motion. His serum uric acid level is found to be elevated. How would you approach the management of acute gout in this patient?
Options:
A)Weak opioids
B)Allopurinol
C)Ibuprofen
D)Prednisolone
E)Colchicine
What obout nsaid in gouty attack
Question:
A 75 year old patient with a history of atrial fibrillation and a prior pulmonary embolism is currently being treated with warfarin. He presents with sudden onset of severe pain, redness, and swelling in his right big toe, along with a high fever. On examination, he has a tender, warm, and erythematous joint with limited range of motion. His serum uric acid level is found to be elevated. How would you approach the management of acute gout in this patient?
Options:
A)Weak opioids
B)Allopurinol
C)Ibuprofen
D)Prednisolone
E)Colchicine
NSAID AND WARFARIN!!!! ??
Bleeding risk
NSAID AND WARFARIN!!!! ??
Bleeding risk