A 58-year-old man presents with haematemesis and melaena. He is tachycardic and hypotensive. What is the most appropriate initial management step befo...

Question

A 58-year-old man presents with haematemesis and melaena. He is tachycardic and hypotensive. What is the most appropriate initial management step before definitive endoscopy?

Accepted Answer

Begin high-dose IV PPI after haemodynamic stabilisation

Answer

Urgent endoscopy without resuscitation

Answer

Insert NG tube and irrigate only

Answer

Start oral iron therapy

Answer

Give only antiemetics and observe

ca-mccqe1 MCQ (SBA): Upper gastrointestinal bleeding

A 58-year-old man presents with haematemesis and melaena. He is tachycardic and hypotensive. What is the most appropriate initial management step before definitive endoscopy?