>>16496992describe the big toe joint you saw
>Bunion / Hallux Valgussharply turning into the second toe, normal skin color, can walk, largely a consequence of ill-fitting shows
>Acute Goutsmooth, tender and warm, red and swollen, looks mean, cannot walk
>Chronic Gout / Podagralarge, clumpy, cauliflower-esqe, can weight-bear but affects gait
>>16497077look dawg, i get paid pretty handsomely to stick to treatment algorithms because i am trained to know when to deviate from them. when society goes mad max, you will gladly serve in my pharmacy castle guard for payment in antibiotics and boner pills