Foot Pain Medical Diagnosis Case

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Mr. Samuels, a 74-year-old man, comes to the ED with severe pain of his left great toe. The toe and surrounding area is red, hot and tender to touch, and edematous. Mr. Samuels is unable to wear a shoe or sock; he states “It hurts too much to put something on my foot!” He rates his pain as an 8 on a scale of 0 to 10, and states that he is unable to perform his daily routine because of the pain.

1. What laboratory value results should the nurse expect for Mr. Samuels?

2. Mr. Samuels’ lab results have returned with slight elevations in the ESR and uric acid levels. The provider wants to be sure of the diagnosis before prescribing treatment.

What procedure may the patient require to confirm a diagnosis of gout?

3. Mr. Samuels asks the nurse, “My doctor said I have gout and it is something I need to control with diet or my kidneys could go bad. What do I need to know about my diet?”

How should the nurse respond to Mr. Samuels’ question?

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