title: An approach to hyperuricemia and gout.
abstract: Arthrocentesis and patient and family histories make gout relatively easy to diagnose. The next step is to distinguish between primary and secondary hyperuricemia. Hyperuricemia results from either impaired renal excretion or excessive production of uric acid--or both. Determining the cause guides the choice of therapy.
mesh_terms: D000493:Allopurinol / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003078:Colchicine / Q000627:therapeutic use; D005260:Female; D006073:Gout / Q000145:classification / Q000175:diagnosis / Q000378:metabolism; D006801:Humans; D008297:Male; D009288:Naproxen / Q000627:therapeutic use; D010653:Phenylbutazone / Q000627:therapeutic use; D011379:Prognosis; D013442:Sulfinpyrazone / Q000627:therapeutic use; D014527:Uric Acid / Q000097:blood*
chemical_list: D000893:Anti-Inflammatory Agents; D014527:Uric Acid; D009288:Naproxen; D000493:Allopurinol; D010653:Phenylbutazone; D003078:Colchicine; D013442:Sulfinpyrazone