A 58-year-old man presents with melaena and dizziness. He is pale, BP 95/60 mmHg, HR 112 beats/min. Hb is 83 g/L. What is the most appropriate initial...

Question

A 58-year-old man presents with melaena and dizziness. He is pale, BP 95/60 mmHg, HR 112 beats/min. Hb is 83 g/L. What is the most appropriate initial management step?

Accepted Answer

Resuscitate with intravenous crystalloids and blood as required, then arrange urgent endoscopy

Answer

Arrange urgent outpatient endoscopy

Answer

Give IV proton pump inhibitor and arrange elective endoscopy in 1 week

Answer

Start oral iron and review in 1 week

Answer

Discharge with laxatives and reassurance

au-amc MCQ (SBA): Upper gastrointestinal bleed resuscitation priority

A 58-year-old man presents with melaena and dizziness. He is pale, BP 95/60 mmHg, HR 112 beats/min. Hb is 83 g/L. What is the most appropriate initial management step?