Gout

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Gout is an inflammatory, crystalline arthritis characterized by the deposition of monosodium urate crystals in the first metatarsophalangeal joint (MTP)...The Crystals are needle-shaped, and negatively birefringent.
Gout and hyperuricemia are not exactly the same thing.
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30 сен 2024

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Комментарии : 266

@6uooofalzahrani1 2 года назад

I love your energy!!! Felt like I’m studying with one of my friends. Thank youu

@MedicosisPerfectionalis 2 года назад

My pleasure 😇

@Anaranjado 2 года назад

I much prefer watching a detailed, energized, and colorful summary of disease processes than falling asleep to a 10 minute video of someone reciting the first aid book. Thank you for these videos 👍

@MedicosisPerfectionalis 2 года назад

Wow 🤩 I am honored!

@majdmuhannad7254 3 года назад

"I didn't go to medical school for many years in order just to say kidney stone. I'm an elite sophisticate" HAHAHAHAHAH

@d_2344 Год назад

8:48 😂😂😂😭😭 I won’t forget septic arthritis ever , really great explanation ❤️‍🔥

@MedicosisPerfectionalis Год назад

Thank you ☺️

@Oliver-cx9mx 3 года назад

"Your Textbook is written by an old dinosaur"🦕 😂😂😂👍

@MedicosisPerfectionalis 3 года назад

Haha 😂

@darlahe4841 2 года назад

laughed

@nisargaspatil6048 4 года назад

THE ENERGY IN THIS FREAKING VIDEO IS OVER THE ROOF!!! IM IN LOVE!❤ IM GONNA BINGE WATCH UR ENTIRE CHANNEL...

@MedicosisPerfectionalis 4 года назад

Thank you so much 😊

@alexobispo4059 4 года назад

You are really doing a great job in teaching! Please keep it up and I hope we still get to access most of your videos for free because they're just all so helpful. You integrate important concepts well with your style in teaching/learning. Thank you so much for this, you're one of the best out there!

@MedicosisPerfectionalis 4 года назад

Thank you so much 😊 I really appreciate it! Most of my videos will always be free!

@safa5678 4 года назад

Measure 24 hours urinary excretion of Uric acid. It's ranges (250-750 mg)/24 hours. >750 with symptoms meaning- Increase intake by food or overproduction, kidney function well. 250-750 with symptoms meaning- Underexcretion. Please corrected if I wrong. Thank you very much for your video.

@mc-eo1wh 4 года назад

Binge watching your videos before exam is my idea of revision

@MedicosisPerfectionalis 4 года назад

Thank you so much 😊 Good luck 🍀

@yasserayman7773 2 года назад

Look I am so surprised that you are an Egyptian ya habibi all the best 😂😂😂😂😂😂😂😂❤️

@MedicosisPerfectionalis 2 года назад

Thank you ☺️

@cherine7367 2 года назад

You are freakin' AMAZING.. your videos are so helpful.. Thank youuuu for this " i can't find a suitable word to describe how your content is not like any of the others " keep the marvelous work ♥️

@joemcmillan2089 3 года назад

Very informative, humorous - I enjoyed thoroughly. I'm a 71 YO with a 30 year gout history. For first several years I followed MD's orders, took prescribed drugs, stayed away from numerous foods/drinks. The results were not good so I stopped the MD and the prescription drugs. Began regimen of natural items: Started w/dark cherry juice and ACV. Over time added turmeric, fresh lemon juice/pulp. cinnamon. black pepper, celery seed extract, garlic along with staying away from high purine foods/drinks. Results better than MD and pharma drugs but still had attacks. Finally went to lowcarb/highfat and keto diet. Results have been excellent - pain and swelling gone first week. Although not fat or hypertension, weight has dropped several pounds and blood pressure reduced. Sleep is better. I believe that SUGAR was the bad guy BUT, I enjoy the lowcarb/highfat keto diet so I will continue on. I also dislike any type of drugs so I am happy to be away from them.

@mustanggt5713 Год назад

How are your Uric acid levels now ? You don’t take any drugs like allopurinol at all ?

@joemcmillan2089 Год назад

@@mustanggt5713 I have no idea what my uric acid levels are - I do not go to doctors for over 10 years now. Gout attacks have been gone for 2-1/2 years since going to low carb diet. Blood pressure and weight have both decreased. I take no drugs other than an occasional ibuprofen for various pain.

@darrenrodrigues5962 4 года назад

If the pain is patient has Gout and the pain is 9/10 is it ok to do a joint fluid aspirate. That patient wouldnt even want you touch that toe let alone put a needle in there.

@MedicosisPerfectionalis 4 года назад

You have to rule out septic arthritis first. If this is a patient with a known medical history of gout, and today presents with severe pain in the big toe, the odds are overwhelming that this is gout...In this case, I might go with the doctor judgement. The same concept applies in a completely different case (anal fissure)...The doctor must perform a physical exam first, even though the patient won’t let you touch it. The solution is to perform the physical exam under anesthesia. But you gotta diagnose first before you can treat.

@darrenrodrigues5962 4 года назад

@@MedicosisPerfectionalis Thanks a lot for clearing the doubt. Please keep posting more videos they are really helpful. 👍

@abbybluemusic 4 года назад

can i just say that i love you question mark? these videos make me feel more alive than ever, like every day i just cannot stop watching them, they're so cool thanks man

@MedicosisPerfectionalis 4 года назад

Thanks a million! I really appreciate you! Thank you so much for watching my videos 😍

@abbybluemusic 4 года назад

@@MedicosisPerfectionalis senpai noticed me omg 🙈

@MedicosisPerfectionalis 4 года назад

Don’t mention it ☺️😊😊

@kainat3474 3 года назад

I m in love with uur way of teaching

@MedicosisPerfectionalis 3 года назад

Thank you 🙏 It means a lot!

@melav9951 3 года назад

By estimation of uric acid in urine, if the test was positive then the patient is overproducer. if negative; he is under-excretor. Not sure tho

@rahmahl5762 4 года назад

Hey hey hey the best notification to start a day GOOD MORNINGGG♥️ Like & comment before watching😂🤍

@MedicosisPerfectionalis 4 года назад

Good morning ☀️ Thank you so much 😊

@anonymous-mg8bo 4 года назад

Every medico needs this channel . Thank you so much . God bless you with every happiness 🙏❤️

@MedicosisPerfectionalis 4 года назад

Thank you so much 😊

@hanniequoka 2 года назад

I love your lectures so much thank you sm it makes studying so much easier ✨

@MedicosisPerfectionalis 2 года назад

Thank you 😊

@shaleen25 4 года назад

Learning from this was SO MUCH FUN. Thank you so much !

@محمد-و5ه8ت 2 месяца назад

Why you will do Arthrocentesis& joint fluid analysis at 1st even before giving NSAIDs or Allopurinol, Guy? 1.To rule out septic arthritis 2.To rule out septic arthritis 3.To rule out septic arthritis It is an emergency case! 4.To confirm Diagnosis...

@khanduwangchuk5362 4 года назад

Looks like my teachers are Dinosaurs! 🤣

@MedicosisPerfectionalis 4 года назад

Haha 😂

@nada-bp2is 6 месяцев назад

Are u Egyptian?

@mohammadwaleed860 Месяц назад

Please explain shortly You just repeat the same things again and again . Like what is HGPRT how does it cause Hyperuricemia just a few words about it and your videos will be much more complete ❤

@aimenabbas1740 4 года назад

Now a days I am studying medicine and your videos are helpful...Thanks a lot♥️♥️

@MedicosisPerfectionalis 4 года назад

My pleasure 😇

@Roon864 4 года назад

Make more videos plz ; u dont know how amazing u r ! ,very very helpful

@MedicosisPerfectionalis 4 года назад

Thank you so much 😊

@777WOY 4 года назад

Thanks for the information I look on your page for anyting for restoring blood vessels from neuropathy I've been free from alcohol HalleluYahuah for going on four years for the past year has gotten better but my feet were hurting with Titans and someone said it might be neuropathy I don't receive any of it I believe that I can be healed in Yahusha and my body will restore itself but I have to do my part follow instructions and eat right and drink lots of freshwater just wondering if you did any teaching on healing of blood vessels in the feet?

@PrasantaDatta-f3g 6 месяцев назад

Diabetes Mellitus is frequently associated with hyperuricacidemia. Is there any corelation?

@moonlightegypt750 5 месяцев назад

ماهو الفريكن...what is freaken meaning?.❤❤❤

@kotiyaswanthchowdary5745 4 года назад

I am confused high level of niacin helps in recovering or it worsen the condition ?

@cjodyssey 4 года назад

niacin competes with uric acid for secretion by kidney tubules and raises serum uric acid levels by 5%-15%

@kotiyaswanthchowdary5745 4 года назад

@@cjodyssey tq

@sarayounis9776 3 месяца назад

everything about your videos is so well thought and meticulous, I get everything I'm looking for just from the definition, amazing work medicosis thank you always

@MedicosisPerfectionalis 3 месяца назад

You're always welcome!

@TheAkaaChan 3 года назад

Haha I'm German and had to laugh when you talked about beer as a risc factor, love your humour

@MedicosisPerfectionalis 3 года назад

Thank you ☺️ You’re so kind!

@themuleify 2 года назад

While the information is great and thank you for this and other videos, the causes of gout as you explain are so frikin' confusing. All sources point to excessive uric acid (either over production or under secretion), but not always as Hyperuricemia is not Gout, right. So if gout attacks can occur while uric acid level is LOWWWW lol:) then why do we need to prescribe Allopurinol to lower it even more? And when reduced, does that guarantee no gout attacks again? And if I get another attack while taking Allopurinol and uric acid level is low, then what is to blame? (Of course while making all dietary changes as well). Just trying to understand the rational here.

@KittysAreCute Год назад

I was wondering that too. Maybe uric acid levels in the blood during an attack might be normal or low because instead of the uric acid circulating freely throughout the body’s blood, it is concentrated as crystals in a joint?

@themuleify Год назад

@@KittysAreCute In extreme cases I guess it could be possible. But it would be a large amount deposited in the joints. Let's say the normal level for gout is 6mg/dL. That means the total 8n the blood is around 300mg (based on 5 liter of blood for adults). So if the level at the time of the attack say was 7.4mg/dL, but when tested it was under 6, it means the total fluids in the joints would have to be about 70mg. What my Dr was able to draw from my toe was about 2mg.

@KittysAreCute Год назад

@@themuleify Good point. I was bewildered and more intrigued. I googled "why normal uric acid during gout attack" and found Bădulescu M, Macovei L, Rezuş E. Acute gout attack with normal serum uric acid levels. Rev Med Chir Soc Med Nat Iasi. 2014 Oct-Dec;118(4):942-5. PMID: 25581951. "Results: Normal serum uric acid levels were found in 63.3% of the patients with acute gout attack. The inflammatory syndrome was detected in 76.6% of patients with high erythrocyte sedimentation rate (ESR) levels and in 30% of patients who had elevated C-reactive protein levels. The urinary excretion of uric acid was measured in 11 patients and it was found increased in 55% of them. "Conclusions: The diagnosis of acute gout attack should not be excluded in the presence of normal serum uric acid levels if the clinical manifestations or the positive response at colchicine are suggestive of gout. The low uric acid level is correlated with increased inflammatory factors and urinary excretion of uric acid."

@PrasantaDatta-f3g 6 месяцев назад

IL6 generated at the inflamed joint has uricosuric action.

@PrasantaDatta-f3g 6 месяцев назад

Similar example:Many cases of myocardial infraction occur even when LDL level is normal. Probably endothelial damage invites cholesterol to get deposited there.

@SakshiRanematriks 3 года назад

This channel is freaking amazing, you can literally binge watch 👏🏻

@MedicosisPerfectionalis 3 года назад

Thank you so much 😊

@DoctorClips. 3 года назад

I have been trying to get to the Rheumatology Playlist but l can’t find it on your channel ..... May l have the link anyone ???

@MedicosisPerfectionalis 3 года назад

Hey 👋 Tafadzwa, How are you doing? Here’s the link to my rheumatology playlist: goo.gl/xfJKL1/ Anytime you want to reach any playlist: type in these words in the RU-vid search bar: “Medicosis + Playlist + Rheumatology”. Good luck 🍀

@DoctorClips. 3 года назад

@@MedicosisPerfectionalis thanks sooo much !

@natarajanmanickam5119 3 месяца назад

Thank u it was very helpful

@MedicosisPerfectionalis 3 месяца назад

Glad it helped!

@HibaNawaf-v9d 5 дней назад

Looooooooooooooooove it💎

@MedicosisPerfectionalis 5 дней назад

Thank you!

@drh.hassan93 2 месяца назад

The answer to your last question is : Through taking history 🕵️

@cedricmusangu4370 Год назад

Why havn't i already smoked your variety? nice ellustration

@vishalvermaphysio 4 года назад

sir not able to find your video on treatment of gout thanks and regards

@nightjadeOR 4 месяца назад

I thought primary gout was more common than secondary?

@medabd8133 2 года назад

Ans- By 24 hr urine examination... If urine uric acid excretion is greater than 800mg/dl👍

@medabd8133 2 года назад

Overproducer*

@ken355555 Год назад

Thank you now you have explained why I have gout in my knee because I was in the middle of the fast it was almost like starvation and it was definitely dehydration so my knee flared out with a gout attack thank you for pointing that out I was wondering how the hell that happened in the middle of a fast 😀

@MedicosisPerfectionalis Год назад

I wish you all the best!

@atchayad842 7 месяцев назад

Why is the pl-ease giving dr.cox vibes ?

@Dr.KMaryamA Год назад

Just causally started your video and God damn this shit is so hott gotta grab my pen and journal cant miss it out

@MedicosisPerfectionalis Год назад

I am so delighted to hear this! Thank you for watching!

@juliakim87 4 года назад

How is everything hahaha, it has hit the mainstream

@MedicosisPerfectionalis 4 года назад

😊😊😊😊

@joymutheu7737 Год назад

😂😂😂😂ooh lord am enjoying this

@MedicosisPerfectionalis Год назад

I am so glad! Would you please help me by sharing?

@dream_catcher430 3 года назад

Thank you for the amazing video! Super helpful and thorough, funny as well I love it 😄

@Andrew-pd6ey 3 года назад

Not a training doctor, I barely understand what you're talking about but if your videos can get an uneducated idiot like me to get all answers about Homer Simpson's questions right just from the info you provided then this stuff must be gold to the people who need it.

@MedicosisPerfectionalis 3 года назад

Thank you so much for watching! It means a lot to me!

@hannahmushtaq6362 4 месяца назад

You getting me through my med school! Thank you so much 🥳

@MedicosisPerfectionalis 3 месяца назад

My pleasure!

@barthinaghabrial34 Год назад

What the heck was i doing before finding yohe videos You're the best out there .. THANK YOU ❤❤❤❤❤

@MedicosisPerfectionalis Год назад

Thank you so much, Barthina! I appreciate you! Would you please help me by sharing?

@barthinaghabrial34 Год назад

Done ❤

@levocetirizine4910 4 года назад

A possible mistake in the vignette is that u cannot do a joint aspiration in a patient with acute gouty attack with pain 9/10. We try to diagnose it with colchicine. Either wait till pain resolves or side effects like diarrhoea start.

@MedicosisPerfectionalis 4 года назад

You’re right. It’s just an exam question, not an actual patient. But, fair enough! You’re sharp!

@levocetirizine4910 4 года назад

@@MedicosisPerfectionalis I'm just following my text and your text must be inline with the American standards. Me and my friends love your videos! Stay safe and keep going!♥️

@melav9951 3 года назад

"Joint aspiration can give pain relief in acute gout " Davidson 23rd edition

@rockycycle2682 4 года назад

I'm trying to like all the videos that I watch. Thank you so much, if I were the type to pay for free stuff I'd definitely pay, but I'm too stingy I suppose. One day isA 😭

@MedicosisPerfectionalis 4 года назад

No worries, my friend! Thank you so much 😊

@leymer13 4 года назад

Thanks for this video Medicosis

@MedicosisPerfectionalis 4 года назад

You're very welcome 😊

@BushraAliKhanB 8 месяцев назад

Love this video!! Thank you, Just a question isnt Apirin a Risk Factor buy in High doses not in low doses, we can safely give pt low dose Apirin for anti platelet effect. Please do confirm

@alaawy25 4 года назад

waiting for part 3 0f COVID-19series ....

@MedicosisPerfectionalis 4 года назад

Thanks for letting me know! I will try

@muhadninmhanafi9694 4 года назад

My HEROOOOOOOOO

@_romavlogs 3 года назад

Looks like you are focusing more on the cursing rather than the subject!!!... :) #JOKING

@abhikhare3144 2 месяца назад

Love it

@MedicosisPerfectionalis 2 месяца назад

Thank you!

@joelmccoy9969 2 года назад

Jesus quote: This is PETER and upon this rock i will build my church.

@iceman340h 2 года назад

you talk too fast

@babinasab1039 4 года назад

I really like your vidéo you are an imaizing pr

@MedicosisPerfectionalis 4 года назад

Thank you so much 😊

@TUM3541 2 года назад

why does gout hurt more at night?

@MedicosisPerfectionalis 2 года назад

At the end of the day, there is more pressure on the weight-bearing joints (remember the flask experiments and the crystals).

@TUM3541 2 года назад

@@MedicosisPerfectionalis Thank you, Doctor 💟

@mah5688 4 года назад

i love u man thanks

@MedicosisPerfectionalis 4 года назад

My pleasure 😇

@BedeliaMikk 11 месяцев назад

Is ankylosing spondylitis an oligoarthritis, or poly?

@BedeliaMikk 11 месяцев назад

@@bobby-my7uc thank you!

@alaamekky5840 3 года назад

hahah steak and sushi dont mix..more funny to egyptians

@anik382 3 года назад

Thank you so much for sharing it for free

@MedicosisPerfectionalis 3 года назад

My pleasure 😇

@misbah2905 3 года назад

WOW!!!!! It is too good. I love your videos.

@MedicosisPerfectionalis 3 года назад

Thank you so much 😊

@newmedicoscience2355 2 года назад

By measuring of 24 hrs urine uric acid level

@shalinibhandari4904 4 года назад

It's absolutely amazing.. hope can have more lessons

@MedicosisPerfectionalis 4 года назад

Thanks 🙏 More lessons are coming!

@notsofiltered.3222 2 года назад

I freaking love your styleeeeee.....

@MedicosisPerfectionalis 2 года назад

Thank you 🙏

@mikepoteet1443 Год назад

I am suffering from gout right now and it sucks! It is super painful and I haven't been able to all week long.

@amanathun8794 Год назад

I really like your replying back kinda gesture... Unlike others Namaskaram🙏🙏😊

@MedicosisPerfectionalis Год назад

Thank you!

@newmedicoscience2355 2 года назад

Haemolytic anemia how can increase the uric acid bz RBCs dont have nucleus ?Can u explain me please 🙏

@MedicosisPerfectionalis 2 года назад

Don’t ignore the nucleated RBC precursors (e.g., proerythroblasts, erythroblasts,…etc)…In response to hemolytic destruction, the bone marrow will make more of these cells, which will eventually die.

@michaelchen2638 2 года назад

hi, just have a question. Wouldn't foods such as red meat, seafood and beer cause an overproduction of uric acid as opposed to under excretion of uric acid since there is more purine to metabolise in the body. I am not quite sure about this, hope you can help with my confusion

@MedicosisPerfectionalis 2 года назад

Yes! I made a mistake in the illustration.

@miraq3261 4 года назад

Legend

@MedicosisPerfectionalis 4 года назад

Thanks 🙏

@shayanidhar 3 года назад

You are so cute 💕

@MedicosisPerfectionalis 3 года назад

Thank you ☺️

@laasyagogula4565 Год назад

could you talk about cholinergic urticaria?

@WVgrl59 Год назад

Toes, knees, feet...it affects many joints.

@ranaaqeel1677 Год назад

U super than amazing ❤

@MedicosisPerfectionalis Год назад

Thank you 😊

@ramyabachu9900 3 года назад

Pleasure make a video on SLE in detail like RA. Thank you. I am a rheumatology aspirant.

@MedicosisPerfectionalis 3 года назад

Thank you 🙏 I will try my best!

@BieberGirl474 Год назад

Did you make a video on the seronegative spondyloaritis? I can’t find it anywhere

@MedicosisPerfectionalis Год назад

It’s here: www.medicosisperfectionalis.com/products/p/ankylosing-spondylitis-1/

@noorulbasarsherazi7989 2 года назад

16 feb

@sayedelboghdady5436 4 года назад

perfect

@MedicosisPerfectionalis 4 года назад

Thanks 🙏

@williamgray697 3 года назад

Crap!

@baselsharan9912 7 месяцев назад

16:51

@judith4096 2 года назад

you are incredible

@MedicosisPerfectionalis 2 года назад

Thank you 😊

@kirandynamo2034 4 года назад

Hey medicosis how to get cardiac farmacology for free?

@مسكالختاممحمد 2 года назад

The holy medicosis Thank you ❤️

@FD8NI 4 года назад

just on perfect time!

@MedicosisPerfectionalis 4 года назад

Thanks 😊

@tevochristmann5372 3 года назад

Wait did you really just say that gout has nothing to do with uric acid levels? I'm not a doctor or a medical student. Just someone with a VERY HURTY TOE who has read everywhere else that high uric acid levels is the cause of gout

@MedicosisPerfectionalis 3 года назад

Correlation is not causation. Please watch the entire video. There is a difference between uric acid level and the painful attacks of gouty arthritis.

@dream_catcher430 3 года назад

I think what he tried to say was the uric acid level isn't very helpful to know during gouty attacks..uric acid gets consumed in forming crystals so the level will be normal or even low.

@suryakala3436 4 года назад

Hello, please make videos on female genital tract pathology or I would like to ask to make videos on all pathology topics. Thnq

@MedicosisPerfectionalis 4 года назад

I will try my best!

@sarahmina1442 4 года назад

Thank you. Your videos are very helpful. 🤗🤩

@dimitrismavromatis5761 Год назад

Man you ara great but please dont speak so fast!!

@MedicosisPerfectionalis Год назад

Thank you so much for your honest feedback!

@dimitrismavromatis5761 Год назад

@@MedicosisPerfectionalis really man you are the best but for us who dont speak english so well that why you need to speak more slowly any way thanks again and be healthy and happy…hallo from Greece!!!