Problem
SK is a 46-year-old Caucasian man came in for a doctor's visit complaining of severe pain in his right big toe. The physician notes signs of inflammation and erythema in these locations. He complains of 6 years of joint pain and loss of motion. The patient has been steadily gaining weight over the past few years and was about 50lbs overweight. The patient's past medical History was significant for hypertension and diabetes mellitus. Last night, the patient admitted having a philly cheese steak and a "few" beers for dinner. Upon laboratory evaluation, he is found to have a serum uric acid level of 9 mg/dL.
Provide the diagnosis
Give the rationale for diagnosis. This portion of the answer must be well developed. You must use the pathophysiology in your case to explain why your diagnosis is correct.