How is physical exam of gout?

All joints examined, involved joints signs of inflammation, erythema over joint looks like cellulitis, skin desquamate as the attack subsides, joint capsule quickly swollen loss in ROM, fever, differential with septic arthritis or coexisting acute gouty arthritis, commonly involves small joints of fingers and toes and kness and can cause inflammation in synovial bursae/tendons. Tophi (collections of urate crystals in soft tissues, develop after a decade of chronic untreated gout, earlier in older women those recieving diuretics, classical located along ear helix, fingers, toes, prepatellar bursa, olecranon. DD rheumatoid nodule.