CASE PRESENTATION
76 years male with a past medical history of Gastrointestinal Bleed,
Anemia, Prostate Cancer status post prostatectomy and radiation
treatment, Cutaneous T – Cell Lymphoma, Multiple Seborrheic Keratosis,
Diastolic Heart Failure with LVEF: 55-60%, Aortic Valve Stenosis status
post-BiPAP Prosthetic Valve Replacement, Coronary artery disease,
carotid artery stenosis, hyperlipidemia, Type 2 Diabetes Mellitus, GERD,
Hypothyroidism, Peripheral Arterial Occlusive Disorder was admitted with
a complaint of dark colored stool for over a week. On investigation,
Hemoglobin was below the normal range and a blood transfusion was done.
He also had a history of multiple transfusions in the past. The patient
gives no history of fever, chills, nausea, vomiting, diarrhea, chest
pain, shortness of breath, or abdominal pain. The patient is married, a
former smoker, an alcohol consumer and has no history of smokeless
tobacco, vaping and recreational drug use. He has a known allergic
reaction to penicillin. He was under several outpatient medications such
as Alprazolam, Vitamin C, Aspirin, Carvedilol, Empaglifazon - Metformin,
Ferrous Gluconate, Folic Acid, Levothyroxine, Losartan, Melatonin,
Multivitamin Tablets, Nitroglycerine Sublingual, Pantoprazole and
Rosuvastatin. A general physical examination revealed pallor and
hypertension. Cardiovascular examination revealed crescendo- decrescendo
murmur. Multiple seborrheic keratoses were present in the chest and
back.