AARON T. EGGEBEEN, MD

Acute gout usually manifests as attacks of pain, erythema, and swelling of joints in the lower extremities and can be treated with nonsteroidal anti-inflammatory drugs, corticosteroids, or colchicine. Chronic gout should be treated with urate-lowering pharmacotherapy.

ROBERT L. HATCH, MD, MPH, JOHN A. ALSOBROOK, MD, and JAMES R. CLUGSTON, MD, MS

Some metatarsal fractures may be easily managed, whereas others require surgical intervention. Evaluation should focus on identifying any conditions that require emergent referral, followed by characterization of the fracture. Diagnostic and therapeutic considerations vary according to the fracture region.

PRABHAT K. POKHREL, MD, MS, PhD, and SANAZ A. LOFTUS, MD

Timely recognition and treatment of ocular emergencies, such as globe injuries, retinal detachment, central retinal artery occlusion, acute angle-closure glaucoma, and chemical burns, are important. Although most ocular emergencies require referral to the emergency department or ophthalmologist, careful eye examination and simple tests can help the primary care physician make appropriate treatment and referral decisions.

GREG W. JOHNSON, MD, KARA CADWALLADER, MD, SCOT B. SCHEFFEL, MD, and TED D. EPPERLY, MD

Although watchful waiting is a viable option in patients with lateral epicondylitis (tennis elbow), initial therapy may include nonsteroidal anti-inflammatory drugs, an exercise regimen, or a forearm strap. If symptoms persist, physical therapy may be helpful.

Patient information: "Exercises for Tennis Elbow," p. 849

Patient information: "Tennis Elbow: What You Should Know," p. 853

Editorial: "Current Understanding of Tendinopathies and Treatment Options," p. 773