I have a resident that has redness, swelling, pain and warmth of his index finger...looks like its spreading into the wrist area. I said he needs to be checked out for cellulitis. DON said 'its gout'. Even though he has no history. He is afebrile, but states that it is very painful and he is unable to move the digit. Either way he needs to be check out by an MD right? How do you make the distinction that it is gout vs. cellulitis without a CBc a uric acid level or a sedrate? I just think she is being to blase about it.