Case Presentation: A 42 year-old woman with history significant for systemic lupus erythematous (SLE) for 20 years complicated by pleurisy and thrombocytopenia on belimumab presented with a 10-day history of migratory polyarthritis. Her pain started in her left wrist, traveled to her right wrist one day later and then to her right shoulder after two [...]

Case Presentation: Case 1: A 3-year-old female with no significant past medical history presented with a 5-week history of recurrent fevers as well as bilateral lower extremity pain with difficulty to ambulate. Imaging of the femur revealed focal lucencies in the proximal femoral shaft. The leading diagnosis at admission was malignancy given the length of [...]

Case Presentation: A 41 year-old female with a history significant for end stage renal disease (ESRD) secondary to focal segmental glomerulosclerosis (FSGS) on peritoneal dialysis for two years, uremic pericardial effusion with pericardiocentesis three years prior, and polyarticular gout on allopurinol presented as a transfer from an outside hospital for evaluation due to concerns for [...]

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 [...]

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 [...]