He is afebrile. He is not orthostatic. He has bibasilar crackles on lung auscultation. No stool is found on digital rectal exam. His skin has no rashes or vascular lesions.
Neurologic exam is normal.
Once the patient was transferred to our facility, he was slowly transfused packed red blood cells. These lesions were cauterized. Also, a polypoid, actively bleeding lesion was seen in the duodenal bulb. The bleeding stopped, and the patient's hematocrit stabilized. A colonoscopy was performed and there were no obvious AVMs or blood in the terminal ileum or colon.