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Old 04-08-2013
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Question Question Gout treatment

There seems to a discrepancy between the Kaplan 2010 videos, the notes and MTB 2. While the lecture clearly stated that colchicine is 2nd choice in managing an acute attack of gouty arthritis after NSAIDs, and that oral or systemic steroids are to be given only when there is renal failure or polyarticular gout. But MTB 2 and put steroids over colchicine.

This is the 3rd such discrepancy i've noticed between KLN and MTB 2 in Rheumatology alone! Any one has a better idea?
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Old 04-08-2013
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dude..this is just my point of view........NSAIDs followed by colchicine is the good treatment for acute gouty attacks........but if renal failure is seen...both of them worsen it...so steroids come in the place of them....steroids are used as first line for them...but if no renal failure given we start with NSAIDs and then follows by colchicine,if pain dont subside.....i hope this helps

thanks
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