Difference between revisions of "Gouch"

From Gomerpedia
Jump to: navigation, search
(One intermediate revision by the same user not shown)
Line 1: Line 1:
[[File:A physician advising his reluctant patient to avoid alcohol Wellcome V0011382.jpg|400px|thumb|left]]
 
 
 
'''Gouch''' is a recurrent inflammatory arthritis so painful that "ouch" is built into the name.<ref>[http://gomerblog.com/2015/08/gout/ Patient Continues to Insist He Suffers from “The Gouch,” Not Gout]</ref>
 
'''Gouch''' is a recurrent inflammatory arthritis so painful that "ouch" is built into the name.<ref>[http://gomerblog.com/2015/08/gout/ Patient Continues to Insist He Suffers from “The Gouch,” Not Gout]</ref>
  
Line 6: Line 4:
 
'''Symptoms'''
 
'''Symptoms'''
 
----
 
----
'''Gouch''' usually manifests first as podagra: a red, hot, swelling, and [[Annie Hallux|painful big toe]] that makes "walking a bitch."  It often happens in the middle of the night for the simple reason that '''gouch''' is evil.
+
'''Gouch''' usually manifests first as podagra: a red, hot, swelling, and painful big toe that makes "walking a bitch."  It often happens in the middle of the night for the simple reason that '''gouch''' is evil.
  
  
 
'''Causes'''
 
'''Causes'''
 
----
 
----
Old-school thinking attributed '''gouch''' to elevated uric acid levels due to [http://gomerblog.com/2015/08/alcohol-abuse/ alcohol], [http://gomerblog.com/2015/01/obesity-epidemic/ red meat], and [http://gomerblog.com/2015/05/protamine-shortage/ seafood], with crystallization at lower temperatures.  New-school thinking simply attributes it to the [[Dr. Oz|Devil]].
+
Old-school thinking attributed '''gouch''' to elevated uric acid levels due to alcohol, red meat, and seafood, with crystallization at lower temperatures.  New-school thinking simply attributes it to the Devil.
  
  
Line 26: Line 24:
 
'''Differential Diagnosis'''
 
'''Differential Diagnosis'''
 
----
 
----
[[Chest X-Ray|Pneumonia]], [[TIMI Risk Score|STEMI]].
+
Pneumonia, STEMI.
  
  

Revision as of 11:19, 9 September 2016

Gouch is a recurrent inflammatory arthritis so painful that "ouch" is built into the name.[1]


Symptoms


Gouch usually manifests first as podagra: a red, hot, swelling, and painful big toe that makes "walking a bitch." It often happens in the middle of the night for the simple reason that gouch is evil.


Causes


Old-school thinking attributed gouch to elevated uric acid levels due to alcohol, red meat, and seafood, with crystallization at lower temperatures. New-school thinking simply attributes it to the Devil.


Genetics


Screw genetics, it's the Devil, damn it!


Diagnosis


Optional.


Differential Diagnosis


Pneumonia, STEMI.


Treatment


Exorcism, NSAIDs[2], or amputation.


References


  1. Patient Continues to Insist He Suffers from “The Gouch,” Not Gout
  2. Area Emergency Physician Successfully Manages Gout Without Consultation


Fun Stuff

Try a random entry.
Push me button.jpg
OR 
this post with your friends


Random Gomerpedia Entries



Need More Gomer?