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- Fibromyalgia - Hx
- Fibromyalgia Plan
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- Gout handout
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ACEP patient handouts
Nate Friedman, MD
EM Resource.org
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Gout (acute) Plan

‍‍﻿‍Indomethacin 50mg po TID x 3-5 days﻿ 
‍‍﻿‍Colchicine 0,6mg, 2 caps PO followed by 1 cap one hour later and then BID﻿ 
‍‍﻿‍Prednisone﻿ 
‍‍﻿‍Corticoid injection﻿ 
‍‍﻿‍Continue uric acid-lowering agents ﻿ if already on prophylactic regimen (but do not start)
‍‍﻿‍Alcohol and dietary counseling﻿ 
‍‍﻿‍Joint aspiration﻿ 
‍‍﻿‍CBC, CRP, ESR, Uric acid﻿ ‍in 6 weeks﻿  
‍‍﻿‍Rheumatologist referral﻿ 

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