Question

A 47-year-old man with chronic alcohol misuse presents with black tarry stools and dizziness. He is hypotensive and tachycardic. What is the single most appropriate immediate management?

Accepted Answer

Resuscitate with intravenous crystalloids and blood, and arrange urgent endoscopy

Answer

Arrange outpatient endoscopy in 2 weeks

Answer

Give oral Iron supplements and review

Answer

Treat with oral Omeprazole only and discharge

Answer

Prescribe Loperamide for diarrhoea

Practice question

A 47-year-old man with chronic alcohol misuse presents with black tarry stools and dizziness. He is hypotensive and tachycardic. What is the single most appropriate immediate management?