A complete organized library of all my videos, digital slides, pics, & sample pathology reports is available here: kikoxp.com/posts/5084 (dermpath) & kikoxp.com/posts/5083 (bone/soft tissue sarcoma pathology).
Thank you so much Dr. Gardner. I have been diagnosed with gout last Friday. I tell you, it is not an easy feeling; it's very painful. It happens at my left foot right underneath the big toe. The area begins to turn red and blueish spot like and warm to the touch. I am now on Prednisone for the inflammation. It is getting better after 2 weeks. Thank you for the microscopic image into this gout illness. Blessed you Sir.
just making a presentation about bout and omg this was so helpfull its such an improve from what books explain an even articles, its almost like a class but with the diference that i can repeat it as many times i want an in hd
So, what is the bigger problem for the joint: the crystals, which "just" hurt", or the immune reaction to them, which might destroy more than only the foreign material?
"...Pretty cool huh. For as pretty as this is, it's very painful..." Painful is when you hit your thumb with a hammer, or fall off a bike. These crystals send you to another dimension, where painful is like heaven.
Thanks for the very educational video. Can you take a swab sample from a tophi discharge from an ulcer or does the sample need to be in synovial fluid form (arthrocentesis)? Thank you in advance!
Drainage from a tophus might work, depending on if the discharge actually contains crystals versus just being serous exudate related to the ulcer. I think a wooden spatula/tongue depressor or something plastic might work better than a swab for getting the material on to a slide. My favorite method for excised tophus to cut it in half and then touch the glass slide directly to the cut surface of the tophus. Obviously that only works if part of the tophus has been removed surgically.
Both my feet big toe sides are about 3/4 inch out right now and meds do nothing to help. As for all the diet stuff, I'm vegan... dring Zero alcohol or soft drinks, avoid all sugars... and pain is atrocious. Can't even wear shoes, when i need to wear them i wrap my feet in gauze and hope for the best. Help, yes i need it bad. So, so sad... by the way, excellent video.
A complete organized library of all my videos, digital slides, pics, & sample pathology reports is available here: kikoxp.com/posts/5084 (dermpath) & kikoxp.com/posts/5083 (bone/soft tissue sarcoma pathology).
this kept me up for days. watching what i eat from now on
Four years ago, I tried to find urate crystals in H&E stain, and now I realize that it was a futile effort. Thank you, Dr. Gardner!
The worst thing about Gout is it just happens so randomly and keeps you crawling on the floor and constant pain for days at a time.
I was just diagnosed with this yesterday but the last three days I’ve been begging someone to just go ahead and cut my foot off the pain was unreal😢
Do you have gout on your big toe?
@@jenandjuice7475 ouch! On the big toe?
@@jenandjuice7475the pain is still unbearable
@@jenandjuice7475 I am having a flare right now... and that cursed toe bumped a door frame, the pain felt like a torture
Thank you so much Dr. Gardner. I have been diagnosed with gout last Friday. I tell you, it is not an easy feeling; it's very painful. It happens at my left foot right underneath the big toe. The area begins to turn red and blueish spot like and warm to the touch. I am now on Prednisone for the inflammation. It is getting better after 2 weeks. Thank you for the microscopic image into this gout illness. Blessed you Sir.
The pain is absolutely horrendous..please don't get gout lol
Ouch! Do you have gout on your big toe?
@@Dexter-wb6kb no iv had it before its unbelievable the pain..you can control it through medication and diet..its probably the worst pain around
Dr. G! Thank you for this. I’m newly diagnosed and this is very educational.
Very valuable and very well-done. Thank you!
What a Great explantion and images. Thank you !!
just making a presentation about bout and omg this was so helpfull its such an improve from what books explain an even articles, its almost like a class but with the diference that i can repeat it as many times i want an in hd
How can we differentiate between gout and pseudogout microscopically?
3:43 Ouch!! It hurt me! Not only I can see it (it's crystal😊-clear), I can feel it too!
This was extremely useful, plenty of thanks Dr.Jerad
So, what is the bigger problem for the joint: the crystals, which "just" hurt", or the immune reaction to them, which might destroy more than only the foreign material?
Great video doc, you made Gout come alive literallly . Thanks for taking the time to explain woth detail everything
I cried
"...Pretty cool huh. For as pretty as this is, it's very painful..."
Painful is when you hit your thumb with a hammer, or fall off a bike. These crystals send you to another dimension, where painful is like heaven.
Thanks. This is pretty instructive.
Some of the worst pain I’ve been in and I have three Children! Why is it that it’s worse at night? 🤷🏼♀️
Thanks for the very educational video. Can you take a swab sample from a tophi discharge from an ulcer or does the sample need to be in synovial fluid form (arthrocentesis)? Thank you in advance!
Drainage from a tophus might work, depending on if the discharge actually contains crystals versus just being serous exudate related to the ulcer. I think a wooden spatula/tongue depressor or something plastic might work better than a swab for getting the material on to a slide. My favorite method for excised tophus to cut it in half and then touch the glass slide directly to the cut surface of the tophus. Obviously that only works if part of the tophus has been removed surgically.
very painful, big toe and knee is where it gets me
Both my feet big toe sides are about 3/4 inch out right now and meds do nothing to help. As for all the diet stuff, I'm vegan... dring Zero alcohol or soft drinks, avoid all sugars... and pain is atrocious. Can't even wear shoes, when i need to wear them i wrap my feet in gauze and hope for the best. Help, yes i need it bad. So, so sad... by the way, excellent video.
What magnification are you using please?
I am showing magnifications ranging from 20x to 200x in this video.
Thank you so much for this video.
Best of luck 💐🌹🥀
How to dissolve?
lower your UA levels in blood, either lifestyle changes or midicine
Nice 👍
An episode of Chicago Med brought me here. 😬
Please check ur kidney function if you have gout. Gout inflammation is the worst pain ever 😢
Jesus take the wheel! GOOD LORD! I cannot even imagine all of this craziness!
👏🏻👏🏻👏🏻👏🏻