GoutHelper
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New Flare
Are the patient's symptoms due to gout? Find out.
About the Flare
Joint(s)
*
Right big toe
Left big toe
Right foot
Left foot
Right ankle
Left ankle
Right knee
Left knee
Right hip
Left hip
Right hand
Left hand
Right wrist
Left wrist
Right elbow
Left elbow
Right shoulder
Left shoulder
Which of the patient's joints were affected?
Rapid Onset
*
Yes
No
------
Did the patient's symptoms start and peak in a day or less?
Redness
*
Yes
No
------
Are the patient's symptomatic joints red (erythematous)?
Date Flare Started
*
When did the patient's symptoms start?
Date Flare Resolved
When did the patient's symptoms resolve?
Leave blank if symptoms are ongoing
.
Medical Information
Medical Evaluation
*
Yes
No
------
Did the patient get an evaluation by a medical provider for these symptoms?
Provider Diagnosis
---------
Provider wasn't sure
Symptoms NOT from gout
Symptoms from gout
Did the medical provider diagnose the patient's symptoms as a gout flare?
Acute Kidney Injury
*
Yes
No
Did the patient have an acute kidney injury (
AKI
) during this flare?
Leave as "No" if creatinine was not checked
.
AKI Status
Ongoing
Improving
Resolved
I don't know
What is the status of this AKI? If unknown, you can enter creatinine values below and GoutHelper will figure it out. Otherwise, GoutHelper will assume the AKI is ongoing.
Creatinine (mg/dL)
Date Drawn
Delete
Serum creatinine in micrograms per deciliter (mg/dL).
When was this creatinine drawn?
Serum creatinine in micrograms per deciliter (mg/dL).
When was this creatinine drawn?
Joint Aspiration
Yes
No
------
Was a joint aspiration and crystal analysis performed?
Crystal analysis
Yes
No
------
Was monosodium urate found in the patient's synovial fluid?
Uric Acid Lab Check
Yes
No
------
Was the patient's uric acid level checked during the flare?
Uric Acid Level
What was patient's uric acid level? Uric acid is typically reported in micrograms per deciliter (mg/dL).
About the patient
Age
*
How old is the patient?
Why do we need to know?
Biological Sex
*
---------
Male
Female
What is the patient's biological sex?
Why do we need to know?
Menopause
Yes
No
------
Is the patient menopausal or post-menopausal?
Cardiovascular Diseases
Angina
Exertional chest pain
Coronary Artery Disease
Blocked arteries in the heart
CHF
Congestive Heart Failure
Heart Attack
Myocardial infarction
Stroke
Cerebrovascular accident
Peripheral Arterial Disease
Blocked arteries in the legs or arms
What cardiovascular diseases does the patient have?
CKD
*
Yes
No
------
Does the patient have chronic kidney disease (CKD)?
Dialysis
Yes
No
Is the patient on
dialysis
?
Dialysis Type
---------
Hemodialysis
Peritoneal
What type of dialysis?
Time on Dialysis
---------
Less than six months
Between six months and a year
More than a year
How long since the patient started dialysis?
CKD Stage
----
I
II
III
IV
V
What
stage
CKD? If unsure, but the patient's
baseline creatinine
is known, enter it below and GoutHelper will calculate the stage.
Baseline Creatinine
What is the patient's baseline creatinine? Creatinine is typically reported in micrograms per deciliter (mg/dL).
Gout
*
Yes
No
------
Has the patient had gout or
symptoms of gout
before?
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