Changes

*In secondary gout, acquired disease interferes with the [[Uric acid|uric acid]] metabolism. Terrestrial reptiles are predisposed to secondary gout since nitrogenous waste is excreted as [[Uric acid|uric acid]].  

*In secondary gout, acquired disease interferes with the [[Uric acid|uric acid]] metabolism. Terrestrial reptiles are predisposed to secondary gout since nitrogenous waste is excreted as [[Uric acid|uric acid]].  

In snakes kidney disease often leads to the development of the [[Visceral gout|visceral form of gout]].

In snakes, kidney disease often leads to the development of the [[Visceral gout|visceral form of gout]].

'''For more information on excretion, see''' [[Lizard and Snake Excretion]].

'''For more information on excretion, see''' [[Lizard and Snake Excretion]].

==Examination==

==Examination==

History may show poor husbandry including limited access to water. Snakes often present as anorexic and lethargic. Often if kidney disease is involved there is a palpable lump in the caudal third.

History may show poor husbandry including limited access to water. Snakes often present as anorexic and lethargic. Often if kidney disease is involved there is a palpable lump in the caudal third.