Sandbox: Joanna Ekabua

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Tables

Causes of Gout
Increased urate production	- Primary gout - Myeloproliferative disorders
Decreased urate clearance	- Chronic kidney disease -Thiazide/loop diuretics

algorithims

Acute lower back pain

Cord compression signs & symptoms

Reg flags or sciatica

No cord compression, reg flags or sciatica

MRI

Back x-rays &ESR

Conservative therapy (4-6weeks)

conservative therapy (if not tried), close follow-up