Gout,”Monoarthritis (monosodium urate crystals)DN treat asymptomatic hyperuricemiaDx: Needle shaped, negatively birefringement
yellow in parallel lightTreat-Acute: Indomethacin > colchicine > oral prednisone-ppx: If under-secretion of urate give probenacid. If overproducers of uric acid give allopurinol*Add NSAID or colchicine for 3-6 as you began ppx therapy to prevent acute attacks”