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Mark Robinson is a 52-year-old advertising executive. CASE

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Mark Robinson is a 52-year-old advertising executive. He presented to the Emergency Department complaining of abdominal pain with a history of black stools for 5 days. He is also complaining of lig... htheadedness when he tries to stand, and prior to that he has been extremely fatigued to the point that he had to take a couple days off work. He thought he was coming down with the flu, so he has been taking Motrin 800mg twice a day. He is currently on Prednisone 30 milligrams a day for Behcet's disease, and Cardizem 120 mg a day for hypertension. He has admitted to taking twice his Prednisone dose as he is had a flare up with his gout. Mr. Robinson admits to drinking two to three alcoholic beverages daily. His respirations are equal and unlabored, bowel sounds are active in all four quadrants, he is pale and diaphoretic. Vital signs are BP: 109/58, P: 102, R: 18, SpO2 95, Temp 97.6 F, 36.4 C. Labs are pending; they had to be redrawn as the lab stated that the blood, they sent was hemolyzed. He has been admitted to the floor for a GI work up, and a possible blood transfusion. [Show More]

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