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Gout is caused by a buildup of uric acid in the body and leads to sudden, intense pain and swollen joints that become red and hot

Abdominal examination did not reveal any significant bowel sounds, the abdomen was not distended, flat with soft abdominal muscles

If the p K b of the base is 5.0, the p K a of its conjugate acid is p K a = p K w p K b = 14.0 5.0 = 9.0

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