Kapili, a 59-year-old Samoan male, presents with his third attack of gout this year. On inspection, you notice the small joint at the base of his left big toe is acutely inflamed. He appears to be an active individual, 165cm tall, with a waist measurement of 85cm and a weight of 77kg. He states he doesn’t drink alcohol and has never smoked. He does have an allergy to shellfish, which results in a rash and vomiting.

Kapili, a 59-year-old Samoan male, presents with his third attack of gout this year. On inspection, you notice the small joint at the base of his left big toe is acutely inflamed. He appears to be an active individual, 165cm tall, with a waist measurement of 85cm and a weight of 77kg. He states he doesn’t drink alcohol and has never smoked. He does have an allergy to shellfish, which results in a rash and vomiting.