Question

our patient with a history of gout is undergoing follow-up evaluation. The presence of which of these in this patient is most likely to warrant referral to a specialist?

a.	Refractory signs or symptoms of gout

b.	Tophi in the feet

c.	Stable tophi in 1-2 joints

d.	Three stable tophi in the hands

Answer 1

Our patient with a history of gout is undergoing follow-up evaluation. The presence of these in this patient is most likely to warrant a referral to a specialist;

a. Refractory signs or symptoms of gout (As the refractory gout is a rare form of gout. The signs and symptoms of the disease include chronic arthritis; joints with swelling, redness, and intense pain, and tophi (lumps around hands, elbows and other body parts). People with refractory gout might require additional treatment to manage their disease.