Case Presentation: A 70-year-old male with a history of hypertension and alcohol use disorder was referred to our ED for persistently elevated lipase. Two weeks prior he was admitted to an outside hospital for alcohol induced pancreatitis. On presentation, he reported bilateral ankle pain. Vitals were unremarkable. Physical examination was significant for bilateral erythematous, edematous [...]

Case Presentation: A 41- years- old male with no medical problems but daily alcohol and tobacco abuse developed sudden right and then left foot pain with swelling 2 weeks before admission. Diagnosis of gout was diagnosed at another hospital and he was treated with steroids with no symptom relief; the right wrist swelling prompted empiric [...]