Background: The Antinuclear Antibody test (ANA) is a test often positive in patients with autoimmune rheumatologic disorders. However, ANA testing can also be positive in non-rheumatic conditions and in healthy individuals1. Prior studies have focused on the clinical utility of positive ANA testing in the outpatient setting by non-rheumatologists, but less is known about its [...]

Case Presentation: A 32-year-old woman presented with progressively worsening abdominal distention for weeks associated with abdominal pain, postprandial nausea and emesis. The physical exam was notable for generalized tenderness and fluid wave. Lab work revealed proteinuria, acute kidney injury, normocytic anemia, and leukocytosis. She had undergone a diagnostic paracentesis at an outside hospital that had [...]