# Flare record worksheet

Use this during a flare, soon after a flare, or after a near-flare while the details are still fresh.

Do not include names, photos, addresses, clinician names, or account details unless you need them for your own private record. Use a record label instead.

## Quick safety check

Mark any that apply:

- [ ] First hot, swollen joint or first possible gout flare
- [ ] Fever, chills, feeling very ill, wound, spreading redness, or concern for infection
- [ ] Trauma, fall, puncture, or injury
- [ ] Severe illness, immune suppression, or high-risk medical context
- [ ] Pattern is not normal for me
- [ ] Pain is extreme, rapidly worsening, or the joint cannot be used

If any are checked, treat this as a same-day medical question, not just a familiar-flare record.

## Record label

- Record label:
- Approximate date or date range:
- Time symptoms first appeared:
- Time pain made me act:
- Filled out during flare, soon after, or later:

## Joint pattern

- Joint:
- Side:
- Same joint as before? yes / no / unsure
- Usual pattern for me? yes / no / unsure
- New symptom or new joint:
- Normal baseline for this joint:

## Symptom climb

| Signal | At first notice | At action point | Peak | Now |
| --- | --- | --- | --- | --- |
| Pain 0-10 |  |  |  |  |
| Heat |  |  |  |  |
| Swelling |  |  |  |  |
| Redness |  |  |  |  |
| Stiffness |  |  |  |  |
| Touch sensitivity |  |  |  |  |
| Shoe, sock, bedding, or pressure intolerance |  |  |  |  |
| Walking or joint use |  |  |  |  |

## Prior 48 hours

Check what changed. Leave guesses blank if you do not know.

- [ ] Alcohol:
- [ ] Concentrated fructose or unusually sweet drinks/foods:
- [ ] Dehydration, heat, sauna, sweating, or travel:
- [ ] Fasting, ketosis, rapid weight change, or skipped meals:
- [ ] Poor sleep or major schedule disruption:
- [ ] Illness, infection, vaccine, surgery, dental work, or injury:
- [ ] Hard exercise, long walk, new shoes, pressure, or mechanical stress:
- [ ] Medication change:
- [ ] Supplement change:
- [ ] Hormone context or hormone medication change:
- [ ] New product, topical, cannabis product, or sleep aid:
- [ ] Stress or recovery strain:
- [ ] No obvious change:

## Rescue and response

Only record what you actually used.

| Intervention | Time used | Why used | Helped? | Side effects or problems |
| --- | --- | --- | --- | --- |
| Clinician-written rescue medication |  |  |  |  |
| OTC medication |  |  |  |  |
| Cold, elevation, pressure relief, footwear, or bedding change |  |  |  |  |
| Topical or cannabis product where legal |  |  |  |  |
| Supplement or food experiment |  |  |  |  |
| Rest, hydration, sleep support, or activity step-back |  |  |  |  |

- Time to meaningful relief:
- What "meaningful relief" meant:
- What did not help:
- Anything that made it worse:

## Rebound or lingering symptoms

- Did pain come back after improving? yes / no / unsure
- What happened before rebound:
- Next-morning response:
- Lingering heat, swelling, stiffness, or sensitivity:
- Function limits:

## Labs, if available

- Serum urate or uric acid value:
- Date or timing relative to flare:
- Was this during flare, soon after flare, or between flares?
- Kidney function marker if known:
- Medication state at the time:

## Clinician-ready summary

One paragraph:

```text

```

Questions to bring forward:

1.
2.
3.

## Claude prompt

```text
I am filling out a de-identified gout flare record. Ask me one question at a time. Do not ask for names, addresses, photos, clinician names, or account details. At the end, summarize the flare in a clinician-ready paragraph, list what changed in the prior 48 hours, separate likely signals from weak guesses, and give me concrete follow-up questions to bring to a visit. Do not diagnose me or invent missing details.
```