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Many patients with high uric acid and gout will have symptoms such as joint redness, swelling, and severe pain in the early stage of the disease, but they have not been diagnosed through detailed diagnosis, and they have missed the best treatment period, which has a great impact on the patient's future life
In order to accurately diagnose the condition, avoid "misdiagnosis and missed diagnosis", and grasp the best treatment time, patients should adopt comprehensive and accurate examination and diagnosis methods in a timely manner
Blood uric acid detection
The measurement of serum uric acid is very important for the diagnosis and evaluation of gout and the evaluation of the effect of uric acid-lowering therapy
Creatinine check
Creatinine reflects the renal function of the patient.
Urate test
Needle-shaped or rod-shaped monosodium urate crystals with negative birefringence can be seen in synovial fluid during acute exacerbations by polarized light examination of tophi or arthrocentesis.
Urine pH test
The solubility of uric acid in urine varies according to the pH of the urine
How to detect
1.
2.
Liver function test
Examination of liver function is very important for the selection of patient's treatment plan.
CT examination
Five reasons for gout patients to have CT scans:
1.
2.
3.
4.
5.
Experts teach you to see CT
1.
2.
3.
At this time, it is normal for the knee joint to have dissolving pain or lack of force;
4.
It is necessary to help accelerate the excretion of blood uric acid, and help the dissolved tophi to be excreted in time, so that the tophi in the knee can be reduced
.
Cardiovascular function test
Routine examinations such as electrocardiogram, echocardiography, cardiac function measurement, and cerebral blood flow diagram can be performed, and head CT or coronary angiography can be performed if necessary to observe whether there are coronary heart disease, cerebral arteriosclerosis and other diseases
.
Fundus examination to observe whether there is retinal arteriosclerosis can also be used as one of the simple methods to detect arteriosclerosis
.
Blood glucose and lipid determination
Gout and hyperuricemia are diseases related to metabolism.
By measuring blood glucose and blood lipids, the status of glucose and lipid metabolism in patients can be evaluated.
The control of hyperuricemia is of great benefit
.