A 70-year-old man presents with melaena and postural dizziness. He takes aspirin and a PPI for known peptic ulcer disease. His pulse is 110 beats/min ...

Question

A 70-year-old man presents with melaena and postural dizziness. He takes aspirin and a PPI for known peptic ulcer disease. His pulse is 110 beats/min and BP 95/60 mmHg. What is the most appropriate immediate management?

Accepted Answer

Resuscitate with IV fluids and arrange urgent gastroscopy

Answer

Arrange urgent outpatient endoscopy within 7 days

Answer

Give oral omeprazole and discharge

Answer

Start iron therapy and review haemoglobin in a month

Answer

No treatment is required if symptoms settle

au-amc MCQ (SBA): Acute upper gastrointestinal bleeding

A 70-year-old man presents with melaena and postural dizziness. He takes aspirin and a PPI for known peptic ulcer disease. His pulse is 110 beats/min and BP 95/60 mmHg. What is the most appropriate immediate management?