Question

A 50-year-old man presents with hematemesis and melena. He has a known history of peptic ulcer disease. After initial resuscitation, what is the best next step in management according to UK guidelines?

Accepted Answer

Administer IV proton pump inhibitor and arrange urgent endoscopy

Answer

Immediate laparotomy

Answer

Oral PPI and discharge with outpatient endoscopy

Answer

Barium swallow study

Answer

H2 receptor antagonist and observe

Practice question

A 50-year-old man presents with hematemesis and melena. He has a known history of peptic ulcer disease. After initial resuscitation, what is the best next step in management according to UK guidelines?