A 72-year-old man presents to the  clinic with sudden onset…

Written by Anonymous on April 12, 2026 in Uncategorized with no comments.

Questions

A 72-yeаr-оld mаn presents tо the  clinic with sudden оnset of severe pаin, swelling, warmth, and erythema of the right great toe,  known as " Podagra"  that began overnight.  He reports difficulty bearing weight.  No trauma or injury.  This is his third similar episode in the past year.   No fever,  B/P 130/80  HR 88   PMH :  NIDDM,  Obesity , HTN,  CKD ( Stage 3 )   OA Knees     Soc Hx;  No tobacco use ,  Drinks 2 beers nightly. No drug use.   Medications:   Metformin,  Lisinopril,  Hydrochlorothiazide,  ASA  81 mg  The NP suspects Acute  Gout .  All of the following are risk factors to develop  Gout  except:        

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