Use of certain medicines,
diuretics and aspirin.
During a physical exam, your doctor will:
Take your temperature.
Fever may accompany gout attacks.
the skin over the painful joint to see whether it is warm, tender, red, or
Check the skin over the affected joint for cuts that may
be a source of infection.
Feel the joint to assess
Check the range of motion of the affected
Examine your hands, elbows, feet, ankles, knees, and
earlobes for gritty, chalky clumps of
uric acid crystals called
If your medical history and physical exam clearly suggest that
you have gout, further testing may be postponed until treatment relieves pain
and swelling or until subsequent attacks occur.
If the diagnosis remains unclear after the history and physical
exam, your doctor may order a blood test to measure the
level of uric acid in your blood. He or she may also order a joint fluid aspiration test to examine
joint fluid for uric acid crystals.
Primary Medical Reviewer
Anne C. Poinier, MD - Internal Medicine
Specialist Medical Reviewer
Nancy Ann Shadick, MD, MPH - Internal Medicine, Rheumatology
How this information was developed to help you make better health decisions.