Is it more than Gout Sore Swollen left foot and toe/

Patient : Is it more than Gout Sore Swollen left foot and toe/ right WBC is 13.8 RBC is 3.77 Hemoglobin is 12.6 Hematocrit is .39 MCV is 103 Neutrophils is 10.3 Monocytes is 1.4 Has had open heart surgery/ 3 strokes and seizures. Recent diagnose of anemia 2 weeks ago. Was in uncontrolled Afib in February.
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