Question: A 49-year-old man with history of ulcerative colitis and chronic anemia presented to the emergency department with complaints of pain and swelling on his chest, rapidly increasing in size for 2–3 days. He also complained of painful swelling of the right fourth finger and a small painful lesion on his right ankle. He denied subjective fever, chills, nausea, or emesis. The patient reported having 2–3 loose brown bowel movements daily without blood, mucus, or tenesmus, which was unchanged from his baseline.