Acute Gout Diagnosis Rule

Risk stratifies for gout vs non-gout arthritis and helps determine which patients benefit most from joint aspiration.


Male Sex

Previous patient-reported arthritis attack

Onset within 1 day

Joint Redness

1st Metatarsophalangeal Joint Involvement

Hypertension or ≥1 Cardiac Diseases

  • Angina MI, CHF, Stroke/TIA, PVD

Serum Uric Acid > 5.88 mg/dL (0.35 mmol/L)

Interpretation