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 29-year-old previously healthy male presented with acute symmetrical joint pain with swelling, back pain, headache, and photophobia. He had no established past medical history and his social history was unremarkable. He was febrile with an examination significant for upper and lower extremity joint tenderness, warmth, and joint swelling in his hands, feet, [...]

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 [...]

Case Presentation: Inflammatory polyarthritis and panniculitis are rare sequela of pancreatic disorders. This condition has been termed Polyarthritis, Panniculitis and Pancreatitis (PPP) and occurs in less than 5% of patients with underlying pancreatic disease.  A 64 year old man presented with chronic erythematous, edematous, and tender subcutaneous nodules on all four extremities. He also had bilaterally [...]

Case Presentation: A 62-year-old female with a history of polycythemia vera presented to urgent care with swelling, redness, and pain over her right foot and ankle. She denied any trauma or insect bites. She was diagnosed with cellulitis and treated with intravenous Ceftriaxone for 3 days with minimal improvement. She continued therapy with oral Cefpodoxime, [...]

Case Presentation: JT is a 26-year-old incarcerated male with no past medical history that presented to the hospital from a prison unit in Southwest Texas. He endorsed a 1-week history of dry cough, fever of 103F, chills, joint pain, and a painful rash on his legs. He denied any recent sick contacts, IV drug use, [...]

Case Presentation: A 71-year-old male with a medical history of type 2 diabetes and hypothyroidism presented with six months duration of intermittent pain, swelling, numbness and tingling of his hands. He was previously diagnosed with carpal tunnel syndrome and had carpal tunnel release of his left wrist five months prior to presentation; however, the swelling [...]

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 [...]