A case of gout management in general practice with multiple comorbidities

With the development of the social economy, the incidence of gout has been rising year by year and is closely associated with multiple systemic diseases. This poses higher requirements for the reception, comprehensive treatment, and management abilities of general practitioners. This article details the entire diagnosis and treatment process of a gout patient with multiple comorbidities. After elaborating on the patient' s medical history, a process-based diagnosis was carried out using the patient-centered interview concept and Murtagh' s safe diagnostic strategy, and a personalized treatment plan was formulated through comprehensive consideration. In drug treatment, medications were carefully selected and the interactions between them were weighed. Non-drug treatments covered aspects such as diet, exercise, psychological counseling, and community follow-up. This process fully demonstrated the advantages and value of general practice in the comprehensive management of gout, accumulated valuable experience for the clinical treatment of gout and the handling of patients with multiple comorbidities by general practitioners, which is of great significance in improving the diagnosis and treatment level of gout and related comorbidities at the primary level, and also provides a useful reference for improving the quality of life and prognosis of patients.