fatigued, low energy, weight gain, sleepiness, constipation, intolerance to cold, hair loss or hair thinning, inability to exercise, and enlargement of the neck; heavy flow and prolonged or frequent periods, erectile dysfunction, loss of libido, infertility, depression, poor memory, inability to concentrate gouty arthritis has a predilection for the first metatarsophalangeal joint. The typical presentation is the patient is in excruciating pain that often awakens them at night. Even though gout primarily affects the great toe, it is important to assess the other joints as well. When there is large joint involvement, the patient may have other symptoms, such as elevated temp, tachycardia, malaise, headache, and chills.
Joint pain usually around the big toe, joint discomfort, inflammation and redness, extreme tenderness, limited range of motion, development of tophi possible.