Modifies a noun

• arthritis: Local ice therapy during bouts of acute gouty arthritis.

• attack: Due to the short duration of use of NSAIDs in acute gouty attacks, they confer few serious adverse events.

• tophus: Calcinosis in the finger tips can resemble gouty tophi.

• patient: Edna, another guest, is being bothered by a gouty patient when Charlie comes downstairs.