Diagnosis of gout?


1    is based on clinical signs

2    requires confirmation of urate crystals in the synovial fluid of affected joint

3    requires a positive ESR level


A    1, 2, 3

B    1, 2 only

C    2, 3 only

D    1 only

E    3 only


  1. D is the answer and there is no winner for this question.
    Details Below:
    The clinical signs are so characteristic of the condition that diagnosis could be
    based on their presentation. Concentration of urate crystals in the synovial
    fluid of joints correlates very closely with serum levels. Serum uric acid levels
    may be measured, particulary to monitor treatment. Hyperuricaemia also tends
    to be present in other arthritic disease states. The erythrocyte sedimentation
    rate (ESR) is a non-specific test that indicates occurrence of infection or inflammatory diseases. As it is a non-specific test, its relevance to the diagnosis of
    gout is minimal.


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