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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.

== Autopsy Findings ==