A 52-year-old woman was presented to the hospital with a complaint of fatigue. On examination, she was found to be anemic on complete blood count which revealed a hemoglobin of 8.1 with a hematocrit of 23.9. A rectal exam was guaiac positive for blood.
History: Recent history of myocardial infarction A prolonged history of rheumatoid arthritis with severe joint deformities in both hands, including a gangrenous left fifth digit. Multiple deep venous thromboses of the lower extremities A vague history of possible systemic lupus erythematosus was also reported She has a long history of borderline adrenal gland insufficiency, which is likely a result of the chronic administration of systemic steroids. Current medication: Multiple medications, including warfarin and hydrocortisone (100 mg every 8 hours) for her joint disease Colonoscopy was done to evaluate the source of GI bleeding which…
