MTP 073 Clinical questions to be addressed: Gout in the patient with renal insufficiency to include acute and chronic management. The postoperative patient with a polyarticular gout flare. Allopurinol intolerance: What are the options for management? The patient has a documented history of gout and develops a monoarticular arthritis. Podagra: Does CPPD deposition disease need to be considered? An 80-year-old woman presents with a swollen, painful shoulder.