Question

A 42-year-old woman presents with 4 hours of large-volume haematemesis and epigastric discomfort. She is pale and clammy with a blood pressure of 90/55 mmHg and pulse 120 beats per minute. What is the most appropriate immediate step in her management?

Accepted Answer

Resuscitate with intravenous fluids and blood products and call for urgent endoscopy

Answer

Arrange urgent oesophagogastroduodenoscopy within 24 hours

Answer

Insert a nasogastric tube and lavage the stomach

Answer

Give high-dose oral Proton Pump Inhibitor and observe

Answer

Discharge with outpatient H pylori testing

Practice question

A 42-year-old woman presents with 4 hours of large-volume haematemesis and epigastric discomfort. She is pale and clammy with a blood pressure of 90/55 mmHg and pulse 120 beats per minute. What is the most appropriate immediate step in her management?