<prompt> Which of the following is the best investigation for acute gout?Serum uric acidUric acid in synol fluidUric acid in urineAnti CCP antibodies  <response>: in Acute gout there is increase in value of uric acid but when acute gout attack sta, uric acid is not elevated in blood, but elevated in synol fluid. Acute gout- uric acid in synol fluid. Chronic Gout - S. Uric acid. Acute gout condition has crystallization of uric acid in the joint space IOC - uric acid in synol fluid Joint Aspiration These crystals exhibiting -vet birefringence in polarized light. 