The nurse is examining a client with a chief complaint of pain in the right great toe. The nurse notes hardened nodules on the lateral aspect of the toe, as well as redness and swelling. The nurse would suspect which of the following?
1. Bunion
2. Synovitis
3. Hammertoe
4. Gout
4
Rationale 1: The manifestations are consistent with a diagnosis of gout. Gout is a form of arthritis. It results from an excess of uric acid. The uric acid crystals deposit in the affected joints. The findings describe tophi, which are the hardened nodules associated with the altered purine metabolism of gout. Bunions are thickening and inflammation of the bursa of the joint of the great toe.
Rationale 2: The manifestations are consistent with a diagnosis of gout. Gout is a form of arthritis. It results from an excess of uric acid. The uric acid crystals deposit in the affected joints. The findings describe tophi, which are the hardened nodules associated with the altered purine metabolism of gout. Synovitis refers to an inflammation of the synovial membrane. It may be present with pain and swelling but is typically seen more in the knee.
Rationale 3: The manifestations are consistent with a diagnosis of gout. Gout is a form of arthritis. It results from an excess of uric acid. The uric acid crystals deposit in the affected joints. The findings describe tophi, which are the hardened nodules associated with the altered purine metabolism of gout. In hammertoe the metatarsophalangeal joint of the toe hyperextends with flexion of the interphalangeal joint of the toe.
Rationale 4: The manifestations are consistent with a diagnosis of gout. Gout is a form of arthritis. It results from an excess of uric acid. The uric acid crystals deposit in the affected joints. The findings describe tophi, which are the hardened nodules associated with the altered purine metabolism of gout.
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