This patient report summarizes the medical history and examination of a 4-year-old girl named Alisha Sarr who presented with headaches, fatigue, joint pain, swelling of the hands and feet, jaundice, and swelling of the left hand. Her vital signs and physical exam revealed paleness, swelling of the left hand, and abdominal swelling and limited sounds. Testing found raised leukocytes in her urine. The physician requested further blood and glucose tests to determine the cause of her symptoms.