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Rheumatology
Gout-Tophi

Rheumatology_Gout_Tophi_IMG_2248-scaled.jpg

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Patient 1 Patient 2 Patient 3

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Rheumatology Joints Hands

Gout-Tophi

Tophi are deposits of urate crystals in the joints and soft tissues. They are a manifestation of longstanding and poorly controlled gout. Patients with tophaceous gout can experience polyarticular attacks and symptoms between attacks. Tophi are typically painless but may become acutely inflamed.

Patient 2

This is an older man with tophaceous gout.

Image courtesy of “Frameworks for Internal Medicine“

This patient also has acute synovitis of the left elbow.

Gout-Synovitis Gottron’s Papules

Teaching physical diagnosis through a library of real clinical findings.

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