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A 77-year-old woman was admitted to the hospital because of chronic gastrointestinal bleeding with increasing weakness and dyspnea.
There was a 17-year history of gastrointestinal bleeding with an undetermined source, despite extensive evaluation on multiple admissions to this hospital that were characteristically complicated by severe anemia, with hematocrit levels as low as 13 percent, and congestive heart failure. Seven of the hospitalizations were during the two years before the current admission, and the most recent was four months before the current admission. During the 10 years before admission, the patient had received approximately 240 transfusions. Detailed panendoscopic examinations with angiographic
Differential Diagnosis
Clinical Diagnoses
Dr. Carlos Fernandez-Del Castillo's Diagnoses
Pathological Discussion
Anatomical Diagnoses
References
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