Case Presentation: A 72-year-old woman with a past medical history significant for chronic obstructive pulmonary disease (COPD) and tobacco use disorder presented to the emergency department due to significant bilateral hand and lower extremity swelling and pain for the past several months. She denied respiratory symptoms, radicular pain, tingling, or weakness of her upper and [...]

Case Presentation: An 18-year-old male with a history of Hepatitis B presented to the ED with 1 month of low-grade fevers, bilateral lower extremity arthralgias (knees, hips, lumbar spine), and 5 days of rectal bleeding. Originally from Guinea, he recently emigrated from Nicaragua. He reported 9/10 joint pain, which started in the left foot and [...]