Mr. I. M., a 53 years old male from Nigeria developed oligo-arthritis involving the right knee and ankle. The knee was swollen, extremely painful and tender to touch. He was unable to move it without severe pain. In need for better diagnose and treatment, Mr. I. M. recurred to iMER, and was derived to the Hadassah Medical Center. Prof. Alan Rubinow, Director of the Reumathology Unit proceeded to examine the patient and finally diagnosed him with gout. An adequate gout treatment solved the problem. Dr.