If things weren't already bad enough, the Orioles may need to call up another relief pitcher before tomorrow's game in Toronto after Dennis Sarfate walked off the mound in the seventh inning with an apparent arm problem.

Sarfate hit Jose Bautista with a pitch, bringing a warning from home plate umpire Tony Randazzo, then looked uncomfortable delivering a pitch to Marco Scutaro. Brian Roberts noticed it first and went to the mound, then summoned manager Dave Trembley and trainer Richie Bancells.

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The MASN replay showed Sarfate opening and closing his right hand on the mound, as if he was trying to shake off some pain or tingling. It's not a good sign for a team that needs all the bullpen depth it can get right now.

Postgame update: Manager Dave Trembley said that Sarfate suffered a loss of circulation in the middle finger of his pitching hand. He's still waiting for a full report from the training staff, but Trembley said he doubted the problem would sideline Sarfate for an extended period.

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