A patient comes to your office and complains of pain in their joints. The pain is constant, regardless of movement, but comes and goes in waves. The patient has no history of fractures or joint damage and arthritis testing is negative. How do you proceed? What do the symptoms suggest? On the basis of what you have learned about the process of excretion, what is likely happening to the patient?
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Hello,
These symptoms, along with the fact that this patient tested negative for arthritis and bone fracture/damage, suggests that he/she is experiencing gout. Gout is caused by the overproduction or under-excretion of uric acid in the body. An excess of uric acid causes joint pain and/or swelling and is very painful. Most times, it cannot be detected when tested for other forms of arthritis. Gout comes in waves, typically triggered …
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