A 45 year old man with long term non steroidal use for osteoarthritis presents with epigastric pain and melaena. He is tachycardic and hypotensive. Wh...

Question

A 45 year old man with long term non steroidal use for osteoarthritis presents with epigastric pain and melaena. He is tachycardic and hypotensive. What is the most appropriate immediate management priority?

Accepted Answer

Resuscitate with intravenous fluids and blood, and arrange urgent endoscopy

Answer

Start a proton pump inhibitor and book outpatient endoscopy

Answer

Discharge with oral iron and review

Answer

Order a Helicobacter pylori breath test only

Answer

Advise stopping NSAIDs and observe on the ward without resuscitation

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

A 45 year old man with long term non steroidal use for osteoarthritis presents with epigastric pain and melaena. He is tachycardic and hypotensive. What is the most appropriate immediate management priority?