How is clinical presentation of gout?

Typical presentation (monoarthritis, acute excrutiating pain, edema, inflammation of MTP of great toe (podagra initial manifestation 50% of cases, and 90% involved) Most common sites (ankle, wrist, finger, knee), early gout 1 or 2 joints involved, any pt with acute monoarthritis it is sus. Polyarticular is in 10% of pt, usually consequetive joints, reach max intensity w/in 8-12 hours, affected joints hot, red, tender, swollen bed sheet, if untreated it resolves w/in 2 weeks