What is the best explanation for the presentation of gout in this individual and explain why the other choices are not consistent with the data or what additional information you may need to decide the root cause?

1. overproduction of purines
2. decreased salvage of purines
3. decreased urinary excretion of uric acid

OPTION 3 - decreased urinary excretion of uric acid

Explanation:

Gout is an extremely painful condition where the joints are inflamed, especially the big toe, caused by a metabolic defect resulting in the accumulation of URIC ACID in the blood and the deposition of urates around the joints.

Additional information:

Uric acids belong to the PURINE group, it occurs in very small amount in the urine of some animals and usually nontoxic.

Options 1 and 2 does not explain gout

i'll try what topic lol

a fossil fuel is a fuel formed by natural processes, such as anaerobic decomposition of buried dead organisms, containing energy originating in ancient photosynthesis.[1] the age of the organisms and their resulting fossil fuels is typically millions of years, and sometimes exceeds 650 million years.[2] fossil fuels contain high percentages of carbon and include petroleum, coal, and natural gas.[3] other commonly used derivatives include kerosene and propane. fossil fuels range from volatile materials with low carbon to hydrogen ratios like methane, to liquids like petroleum, to nonvolatile materials composed of almost pure carbon, like anthracite coal. methane can be found in hydrocarbon fields either alone, associated with oil, or in the form of methane clathrates.

the theory that fossil fuels formed from the fossilized remains of dead plants by exposure to heat and pressure in the earth's crust over millions of years was first introduced by andreas libavius "in his 1597 alchemia [alchymia]" and later by mikhail lomonosov "as early as 1757 and certainly by 1763".[4] the first use of the term "fossil fuel" was by the german chemist caspar neumann, in english translation in 1759.[5]

in 2017 the world's primary energy sources consisted of petroleum (34%), coal (28%), natural gas (23%), amounting to an 85% share for fossil fuels in primary energy consumption in the world.[6] non-fossil sources in 2006 included nuclear (8.5%), hydroelectric (6.3%), and others (geothermal, solar, tidal, wind, wood, waste) amounting to 0.9%.[7] world energy consumption was growing at about 2.3% per year. in 2015 about 18% of worldwide consumption was from renewable sources.[8]