Nijmegen Rule of Clinical Prediction for Gout

Select all the clinical and immunological variables objective in the patient:

Required inputs

The inputs this calculator asks for inside the app.
Variable	Example value
Male sex (2 points)	2
History of previous acute onset painful arthritis attack reported by the patient (2 points)	2
Sudden onset (maximum intensity of pain and inflammation reached in (0.5 points)	0.5
Erythema or obvious redness overlying the affected joint (1 point)	1
Clinical involvement of the first metatarsophalangeal joint (Podagra) (2.5 points)	2.5
Diagnosed arterial hypertension OR presence of known cardiovascular disease (1.5 points)	1.5
Quantitative Serum Uric Acid (mg/dL)	7.2

Run the calculation in the app

This page explains the score but does not run it. In Epistemis, the calculator validates units, flags values outside physiological ranges, and provides the interpretation that a number alone cannot convey.

Epistemis is educational review material. It is not a medical device, does not diagnose or prescribe treatment, and does not replace formal medical training, current clinical guidelines, or professional clinical judgment.

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Specialty: Rheumatology
Area: Internal Medicine
Variables: 7

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