Problem
Mr Jones is a 55-year-old man who comes to the clinic with complaints of pain in his right great toe. He tells you that the pain woke him up in the middle of the night and had a hard time sleeping. His toe is very swollen, tender to touch, warm and red. Mr Jones just returned from Las Vegas where he states he ate and drank quite a bit. His diet consists of some vegetables, but he states he eats quite a bit of red meat, especially beef and enjoys red wine.
i. What are the risk factors for gout?
ii. What are the clinical manifestations of gout?
iii. What education and treatment is effective for Mr Jones?