CHAPTER XIV GOUT AS AN INFECTION Local Foci of Infection: Dental, Nasal, Pharyngeal, etc. Gastro-intestinal Disorders. Variation in Free HCL. Intestinal Disorders. Infection or Sub—infection _pp._ 177-187 CHAPTER XV GOUT AS AN INFECTION (_continued_) Analysis of the Acute Paroxysm. The Evolution and Life History of Gout. Analogies between Gout and the Specific Infective Arthritides. Correlation of the Metabolic Phenomena of Gout with the Postulated Infective Element _pp._ 188-199 CHAPTER XVI CLINICAL ACCOUNT Acute Localised Gout. Prodromal Symptoms. Dyspepsia. Premonitory Symptoms of Tophus Formation. Premonitory Articular Pains. The Acute Paroxysm. Detailed Consideration of Phenomena. Mode of Onset. Localisation. Nature of Pain. General Phenomena. Pyrexia. Changes in the Blood. Uric Acid Excretion. Local Phenomena. Tophus Formation _pp._ 200-213 CHAPTER XVII CLINICAL ACCOUNT (_continued_) Acute Gouty Polyarthritis. Mode of Invasion. Distribution of Lesions. Local Characters. Constitutional Symptoms. Changes in the Blood. Leucocytosis. Collateral Phenomena of Gout. Lumbago, Sciatica, etc. Incidence of Gouty Stigmata in Various Types of Fibrositis _pp._ 214-224 CHAPTER XVIII CLINICAL ACCOUNT (_continued_) Chronic Articular Gout. The Joint Deformities of Chronic Gout. Tophi: Their Evolution and Distribution. Other Sites of Tophi. Affinities between Gout and other Diseases. Gout in Relation to Glycosuria. Gout in Relation to Phlebitis. Cutaneous Disorders. Gout and Nephritis. Prognosis in Gout _pp._ 225-246 CHAPTER XIX ETIOLOGICAL AND CLINICAL DIAGNOSIS. Articular Gout. Etiological Diagnosis. Clinical Diagnosis. Introductory Remarks. The Diagnostic Status of Tophi. Tophi in Relation to Arthritis. Frequency of Tophi in True Gouty Arthritis Underestimated. Difficulty of Detecting Tophi _pp._ 247-257 CHAPTER XX CLINICAL DIAGNOSIS (_continued_)