d. Treatment of Gout. Follow this treatment:
Advise avoidance of alcohol and purine-rich foods.
Encourage large fluid intake.
(3) By physician's order, may administer nonsteroidal anti-inflammatory
(4) By physician's order, may give uriocsurics such as allopurinol
(Zyloprim) and colchicine.
NOTE: See paragraph 2-14 for more information about gout.
a. General Information. The bursae are closed sacs lubricated by small
amounts of synovial fluid. This fluid helps muscles and tendons move over bony
prominences (pieces of bone that stick out). Bursitis is the inflammation of a bursa or of
several bursae. When bursitis occurs, it usually occurs in these bursae: the subdeltoid,
the olecranon, the trochanteric, the calcaneal, or the prepatellar bursae. These are all
areas where tendons pass over bony prominences. Housemaid's knee is a typical
example of bursitis.
b. Causes. Bursitis affects individuals who spend a great deal of time on their
knees regardless of whether they do housework or some other type of endeavor.
Additional causes of bursitis include trauma, an acute or chronic infection (including
syphilis and tuberculosis), rheumatoid arthritis, and gout.
c. Signs/Symptoms of Bursitis. Included are the following:
Pain at the affected site.
Tenderness at the affected site.
Limited range of motion.
Swelling at the site.
Redness at the site.