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gout diagnostic rule
Procedure:
observation value
male 2.0
prior attack of arthritis (self reported) 2.0
onset within 24 hour 0.5
erythema (over joint) 1.0
first metatarsophalangeal joint involvement 2.5
hypertension or cardiovascular disease 1.5
serum urate >= 5.88 mg/dL 3.5
- -
Total 13
Interpretation:
- score >= 8: treat as gout
- score > 4 & < 8: joint aspiration
- score < 4: probablity of gout < 3%
General
numerical rating scale (NRS)
References
- Janssens HJEM et al.
A diagnostic rule for acute gouty arthritis in primary care
without joint fluid analysis.
Arch Intern Med 2010 Jul 12; 170:1120.
PMID: 20625017
- Gout calculator
UMC St Radboud
http://www.umcn.nl/Research/Departments/eerstelijnsgeneeskunde/Pages/Jichtcalculator.aspx