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:
Questions to bring forward:
Claude prompt
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.