Patient admitted due to left leg finger swelling and pain Present complaint swelling and redness in left 4th finger Swelling from 4 months ago Consulted thuong nhat hospital and he didn't reduce the symptoms on 29/6/2026 he admitted to the truong vuong hospital The pain present all the time When he touches and walking on light pressure he feels pain sometimes he notices white color pus Pain does not radiate to any other joint Pain score 6/10 Gout attack history 3 yrs ago he got his 1st gout attack on the right leg 4th finger and cut it on 2023 This is 2nd attack since 3 yrs Previous attack was same as now While getting the last attack he also had pain in knee joint and the knee joint is still present He relieve pain when he takes rest He has specific diet he avoids non veg he did not eat any red meat and sea food He consumes alcohol 2 to 3 times a year He has no recent infection or last surgery He has no dehydration no trauma ,no excessive exercise He has no joint stiffness No lumps or nodules No urinary symptoms Past history Has past history of hypertension He took medication for 4 yrs and medication is unknown Family history No allergy No family history No weight loss Examination Musculoskeletal Morning stiffness no On observation mild swelling no redness On palpation crepitus seen in left leg Patella tap test negative not more fluid present Cardio normal Got normal. Skin No rashes no ulceration ,tenderness Systematic No fever,no fatiye no weight loss Functional impact Pain on walking Cannot able to climb stairs In right hand 3 rd MCP has gout and in 2nd finger he had trauma and got abnormality in younger age and also he had gout on the 2nd finger. From the information given above and the image make me a medical record in the doc medical record format