Clinical CPD topic
Gout: practise, reflect and record
Practise gout through five clinical cases, review the explanations and build a professional learning record. Adjust urate targets and allopurinol dosing when frequent flares persist despite urate below 360 micromol/L.
First published · Sources checked
What you’ll work on
- Adjust urate targets and allopurinol dosing when frequent flares persist despite urate below 360 micromol/L.
- Choose oral or intra-articular corticosteroid treatment according to medication risks, joint involvement and infection assessment.
- Distinguish when to initiate urate-lowering therapy from when to continue established allopurinol during a flare.
Think through a clinical case
Decide how you would approach this case before opening the question session.
A 67-year-old man with gout has had four flares during the past 12 months despite taking allopurinol 400 mg daily. Between flares, repeated serum urate measurements are approximately 345 micromol/L. He reports taking allopurinol regularly, tolerates it, and has normal renal and hepatic function. He has no tophi. What is the most appropriate next step?
A case from the UKMLA question bank. The session provides the answer and explanation after your attempt.
From a decision to a learning record
- Test your reasoning. Answer five questions from this topic’s clinical-content library.
- Explore the gaps. Review explanations and use Tutor to work through decisions that need more thought.
- Reflect on application. Describe what you learned and what you would change or investigate.
- Review your evidence. Confirm the activity and time spent, then retain or export your professional record.
Primary sources and further reading
Read the source in the same jurisdiction as your question session.
- Recommendations | Gout: diagnosis and management | Guidance | NICEUK source
- Colchicine 500 micrograms Tablets — UK SmPCUK source
- Zyloric Tablets 100mg, 300mg — UK SmPCUK source