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CONDITION/DISORDER SYNONYMS
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Hyperuricemia
Tophaceous gout
Gouty arthritis
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274.9 Gout, unspecified
315.4 Coordination disorder (clumsiness, dyspraxia and/or specific motor development disorder)
718.03 Articular cartilage disorder, forearm
718.04 Articular cartilage disorder, hand
718.07 Articular cartilage disorder, ankle and foot
719.39 Palindromic rheumatism involving multiple sites
719.4 Pain in joint
729.1 Myalgia and myositis, unspecified
736.9 Acquired deformity of limb
Physical therapy diagnoses/treatment diagnoses that may be associated with Rheumatologic disorders affecting movement
718.45 Contracture of joint; pelvic region and thigh
719.70 Difficulty in Walking
728.89 Other disorders of muscle, ligament, and fascia
728.2 Muscular wasting and disuse atrophy
729.9 Other disorders of soft tissue
781.2 Abnormality of gait: Ataxic, paralytic, spastic, staggering
782.3 Edema
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PREFERRED PRACTICE PATTERNS
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4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissue Dysfunction1
4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Localized Inflammation
7B: Impaired Integumentary Integrity Associated with Superficial Skin Involvement
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PATIENT PRESENTATION
A 69-year-old male presents to the outpatient physical therapy clinic with complaints of pain (8/10) in the right great toe. The pain appeared suddenly over the past 2 days. Upon examination, you find redness and erythema of the right great toe, pain localized to the great toe, especially in the metatarsal–phalangeal joint, which is worse at night. He has a clear difficulty in walking due to the pain. The patient is moderately obese, diabetic, has sleep apnea, and reports he consumes two alcoholic beverages per day. No lab values are available and other historical information is noncontributory.
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Gout is a form of arthritis that is caused by uric acid (sodium urate) buildup in the blood, resulting in crystal formation that can inflame the joints.
Considered a rheumatic condition because it involves the joints
Joint pain: Often in great toe, knee or ankle; episodic but may last for long periods of time
Sudden onset: May be over a course of a day, and frequently with severe pain at night
Edema
Soft tissue pain surrounding affected joints
Kidney dysfunction
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Essentials of Diagnosis
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