Clinical-Physical Examination The classic location of tophi is along the helix of the ear., includin g the fingers, toes, prepatellar bursa, and along the olecranon. Rar ely, a creamy discharge may be present All manitestations of gout in the eye are secondary to deposition of urate crystals within the ocular tissue Gout. Chronic tophaceous gout Gout. Tophaceous deposits on elbow in an untreatedpatientwithend Gout Tophaceous deposits in ear stage renal disease 1010 浙医二院 Clinical--Physical Examination The classic location of tophi is along the helix of the ear …, includin g the fingers, toes, prepatellar bursa, and along the olecranon. Rar ely, a creamy discharge may be present . All manifestations of gout in the eye are secondary to deposition of urate crystals within the ocular tissue •Gout. Tophaceous deposits on elbow •Gout. Tophaceous deposits in ear •Gout. Chronic tophaceous gout in an untreated patient with end￾stage renal disease