== Clinical Summary ==
This 73-year-old female had suffered from rheumatoid arthritis for 40 years. She took large doses of aspirin in addition to her prescribed medications. The patient was came to the emergency room for weakness and hematemesis. Her hematocrit was 21%. Endoscopy demonstrated a large bleeding ulcer and fresh blood in the stomach. The sites of bleeding were cauterized; however, shortly after the procedure the patient became hypotensive and died despite aggressive resuscitation.
This 57-year-old white female had suffered from rheumatoid arthritis for 20 years. During this period, many joints There were involved, some seriously. Because of numerous erosions and ulcers in the severe pain of this arthritis the patient was placed on steroids stomach and was given analgesics, some a large quantity of which contained acetaminophen. The patient also took additional analgesics (aspirin and/or acetaminophen) to help control fresh blood in the paingastrointestinal tract. The patient There was admitted to the emergency room for weakness also significant swelling and hematemesisdeformation in multiple joints. On admission the patient's hematocrit medial aspect of the right foot there was 21%. Endoscopy demonstrated a large bleeding ulcer and fresh blood in the stomach and proximal duodenumfirm, irregular, rubbery subcutaneous nodule measuring. The sites of bleeding were cauterized; however, shortly after the procedure the patient became hypotensive cut surface was whitish-yellow and died despite aggressive resuscitationfibrous.
== Autopsy Findings ==