This case involves a thirty-one-year-old female patient who presented to the hospital with complaints of severe upper-right quadrant pain, vomiting, and dark blood in her stool. A week prior to her admission, the patient had an abdominal ultrasound at her PCP that was read as normal. One week before her admission the patient experienced coffee-ground emesis and the inability to tolerate anything by mouth. The patient experienced a severely hypotensive episode a few hours after her admission but no fluids or blood products were considered in her treatment regimen. The patient became unresponsive shortly after and a code was called. The cause of death was cardiac arrest secondary to a large gastrointestinal bleed.