A 58-year-old with melena, HR 110, BP 98/60, BUN 42 mg/dL, Hgb 8.1 g/dL. After resuscitation, what is the recommended pre-endoscopic therapy?...

Question

A 58-year-old with melena, HR 110, BP 98/60, BUN 42 mg/dL, Hgb 8.1 g/dL. After resuscitation, what is the recommended pre-endoscopic therapy?

Accepted Answer

Start IV PPI bolus and infusion

Answer

Start octreotide for presumed variceal bleed in all patients

Answer

Start sucralfate

Answer

Avoid PPIs until endoscopy confirms ulcers

Answer

No acid suppression needed

us-abem MCQ (SBA): Upper GI Bleed