Patient/caregiver was educated on complications of unresolved gout as follows: Renal damage: Progressive growth of tophi deposited in the kidneys can lead to obstruction to urine flow. Individuals can present with episodes of pain in the loin and back on the side of involved kidney, pain during voiding, and frank blood in urine staining the urine pinkish red. Obstruction to urine flow can lead to reduced urine output, excessive retention of fluid and wastes in [...]

Patient/caregiver was educated on complications of unresolved gout as follows: Damage to the cartilage: Articular cartilage minimizes the friction between the joints and makes the movement easier and pain free. Chronic inflammation due to unresolved gouty arthritis leads to complete lysis of the articular cartilage resulting in loose tissue material. Also, total shrinking of the joint space between the bone surfaces can occur, resulting in bone on bone situation, with extreme pain and tenderness. Tophi [...]

Patient/caregiver was educated on the pathophysiology  of gouty arthritis as follows: Pain and tenderness Excess of uric acid in the blood can lead to crystallization of uric acid in multiple joints. Uric acid forms needle shaped crystals in the joints, resulting in inflammation and arthritis of the joints involved. White blood cells, which are protective and fight against any infecting organisms, increasingly migrate to the affected joint as part of inflammatory response. Chemicals released from [...]

Patient/caregiver was educated on the pathophysiology  of gouty arthritis as follows: Gout is a metabolic disorder of uric acid, secondary to excessive blood levels of uric acid. Excessive blood levels of uric acid can result either from increased uric acid production in the body or reduced excretion of uric acid by kidneys. Excess of uric acid in the blood can lead to crystallization of uric acid in multiple joints. Uric acid forms needle shaped crystals [...]