Ankle pain can be determined as gout by history, clinical symptoms, laboratory tests and imaging. 1. Medical history: If there is a history of kidney disease, blood disease, or taking drugs such as furosemide, anti-Parkinson’s drugs, or there is a family history of hyperuricemia and gout, the possibility of gout should be considered. 2. Clinical symptoms: The common symptoms of gout are redness, swelling, heat and pain in single joints, and joint mobility disorder in severe cases. 3. Laboratory tests: gout patients usually have elevated blood uric acid, gout patients can increase neutrophils during the acute attack, during this period of puncture to extract synovial fluid under the microscope can also be seen in sodium urate crystals. 4. Imaging: gout patients joint ultrasound can be seen in cartilage and surrounding soft tissues there are urate deposits and bone erosion and other conditions, X-ray and CT can also be seen joint lesions. It is recommended that patients with ankle pain go to rheumatology and orthopedics departments of regular hospitals for further diagnosis.