A 59-year-old man presents with melaena and dizziness. He admits to long-term NSAID use for osteoarthritis. Observations: BP 92/58 mmHg, pulse 112 bea...

Question

A 59-year-old man presents with melaena and dizziness. He admits to long-term NSAID use for osteoarthritis. Observations: BP 92/58 mmHg, pulse 112 beats/min, RR 22/min, capillary refill 4 seconds. What is the most appropriate immediate management?

Accepted Answer

Resuscitate with intravenous crystalloids and arrange urgent upper GI endoscopy

Answer

Arrange outpatient upper GI endoscopy within 2 weeks

Answer

Start a proton pump inhibitor and review in 48 hours

Answer

Commence oral iron and stool occult blood testing

Answer

Discharge with advice to stop NSAIDs and see GP

uk-plab-1 MCQ (SBA): Acute upper gastrointestinal bleed

A 59-year-old man presents with melaena and dizziness. He admits to long-term NSAID use for osteoarthritis. Observations: BP 92/58 mmHg, pulse 112 beats/min, RR 22/min, capillary refill 4 seconds. What is the most appropriate immediate management?