A 40-year-old man has come into the clinic with complaints of extreme pain in his toes.The nurse notices that his toes are slightly swollen,reddened,and warm to the touch.His complaints would suggest:

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Clinical findings for acute gout consist of redness,swelling,heat,and extreme pain like a continuous throbbing.Gout is a metabolic disorder of disturbed purine metabolism,associated with elevated serum uric acid.(See Table 22-1 for descriptions of the other terms.)

A 40-Year-Old Man Has Come into the Clinic with Complaints