Sudden Severe Joint Pain

Richard is a 58-year-old male presenting with sudden severe right great toe pain, started overnight. 58-year-old male presents with acute onset of severe pain in his right great toe that woke him from sleep last night. The pain is excruciating - 10/10. The toe is swollen, red, and so tender he cannot bear any touch. Your task is to take a focused history from this patient.