Gout

Gout on one foot with Tophi on the other. Make sure you know if you patient is an over or under secretor before you begin on maintenance medication. #pa_moments #gout pamoments.com

Gout. Most common to the first metatarsal but can occur in any joint. Note the erythema and edema. It is also exquisitely tender to even light touch.
Tophi noted (large bump appearance) to the first metatarsal joint. Tophi occurs from multiple previous gout attacks.

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