 The patient says that the right hand was very swollen, very painful, could not move the fingers, and also, the left foot was very swollen and very painful, and again could not move the toes, came to emergency room, diagnosed with gout and gouty attacks. 
The patient says that the right hand was very swollen , very painful , could not move the fingers , and also , the left foot was very swollen and very painful , and again could not move the toes , came to emergency room , diagnosed with gout and gouty attacks .