Gout patients should also check at the same time do what

As at the same time with gout patients often have other metabolic disorders, such as diabetes, hypertension and hyperlipidemia, atherosclerosis, etc. So for each gout patients are necessary for the following laboratory examinations: (1) Lipid checks include: blood cholesterol, triglycerides, high density lipoprotein (HDL, LDL) and very low density lipoprotein (VLDL), who can still do a conditional apolipoprotein determination. (2) glucose: fasting blood glucose should be done two hours and postprandial blood glucose determination; necessary, glucose tolerance test, the early detection of hidden glucose metabolism disorders and diabetes. (3) liver and kidney function tests: to establish whether gouty kidney and liver lesions. (4) cardiovascular and cerebral vascular function: to do ECG, echocardiography, cardiac function of brain blood flow, such as wellness checks and, if necessary, or brain CT coronary angiography to observe whether coronary heart disease, cerebral arteriosclerosis and other diseases. In addition, the observation of the fundus examination whether retinopathy atherosclerosis, arteriosclerosis can be found as one of the simple method. (5) Joint X-ray: a gouty arthritis attack patients should be done joint X-ray. To understand the extent of joint disease, gout and for the diagnosis of circumstantial evidence. (6) urinary X-ray inspection system: early detection of kidney, ureter and bladder stones, and observed Meng renal function and renal, ureteral shape, to establish whether hydronephrosis, and obstruction. Because uric acid stones can be through the X-ray, the most gout patients only do abdominal X-ray examination is not found stone artifacts. Must also be done intravenous pyelography inspection. If ordinary abdominal X-ray have been able to detect the stone, the stone except that the gout containing uric acid salt, is still mixed with a calcium phosphate or calcium oxalate, there are mixed stones. (7) inspection or puncture biopsy: If gout patients in the hand, foot, ear and around joints or other parts of the body when the skin nodules should be routine inspection or puncture biopsy done with a view to detecting the presence of uric acid salt crystallization This is very valuable to establish the diagnosis. In addition, B ultrasound and CT scan, the diagnosis of urinary stones also valuable. If a patient can not tolerate intravenous pyelography inspection, may choose to B-type ultrasonic or CT scan.