A 34-year-old man presents with epigastric pain and melaena. He has been taking ibuprofen regularly. Hb 86 g/L, urea 12 mmol/L. What is the most appro...

Question

A 34-year-old man presents with epigastric pain and melaena. He has been taking ibuprofen regularly. Hb 86 g/L, urea 12 mmol/L. What is the most appropriate first-line test to establish the diagnosis?

Accepted Answer

Urgent oesophagogastroduodenoscopy (OGD)

Answer

Stool antigen for H. pylori

Answer

Helicobacter serology

Answer

Faecal occult blood test

Answer

Abdominal ultrasound

ukmla MCQ (SBA): Upper GI Bleed

A 34-year-old man presents with epigastric pain and melaena. He has been taking ibuprofen regularly. Hb 86 g/L, urea 12 mmol/L. What is the most appropriate first-line test to establish the diagnosis?