Gout is clinically suspected in patients with a typical history and examination findings. Diagnosis is then
confirmed by joint aspiration showing monosodium urate crystals. However, in most cases diagnosis can be
made clinically with a good degree of certainty without the presence of crystals. A history of previous attacks
that are self-limiting (7-14 days) supports the diagnosis. Medications, dietary habits, and family history should
be assessed. A thorough examination is then carried out to assess for tophi and joint deformities.
