Summary Writer: Elie Matar
Editor: James Edwards
Interviewee: Neil McGill
James talks to Associate Professor Neil McGill about the management of gout on the wards.
Dr McGill is a Clinical Associate Professor in the Department of Medicine at the University of Sydney and a Consultant Rheumatologist at Royal Prince Alfred Hospital. He runs a busy general rheumatology practice and has a keen interest in teaching. He has had a long term interest in crystal-induced arthritis, stimulated initially by working with Professor Paul Dieppe in Bristol. Neil was the inaugural Chair of the Synovial Fluid Quality Assurance Program (within the RCPA Quality Assurance Program) in 1997 and he has continued in that role subsequently. He has contributed to many original publications and has written reviews in peer-reviewed journals in the field of crystal-induced arthritis.
With Associate Professor Neil McGill, Consultant Rheumatologist at Royal Prince Alfred Hospital, New South Wales, Australia
Case 1 – A 60 year old male with history excessive alcohol use and hypertension treated with diuretics presents with acutely swollen and painful ankle. He denies a history of trauma but does have a history of gout.
History of acutely swollen joint in classical joints (e.g. 1st MTPJ i.e. ‘podagra’) that cleared with anti-inflammatory medications is strongly suggestive
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