A 62-year-old man presents with melaena and dizziness. His blood pressure is 90/60 mmHg and pulse 112 beats/min. Hb is 88 g/L. What is the most approp...

Question

A 62-year-old man presents with melaena and dizziness. His blood pressure is 90/60 mmHg and pulse 112 beats/min. Hb is 88 g/L. What is the most appropriate initial management step?

Accepted Answer

Commence IV proton pump inhibitor and arrange endoscopy after haemodynamic stabilisation

Answer

Urgent upper GI endoscopy without resuscitation

Answer

Transfuse red blood cells to a target Hb of 130 g/L immediately

Answer

Start oral iron and review in one week

Answer

Discharge for outpatient endoscopy the next day

au-amc MCQ (SBA): Upper gastrointestinal bleeding

A 62-year-old man presents with melaena and dizziness. His blood pressure is 90/60 mmHg and pulse 112 beats/min. Hb is 88 g/L. What is the most appropriate initial management step?