A 54-year-old man presents with haematemesis and melaena. He is pale, sweaty, tachycardic and hypotensive. After initial ABCDE assessment, large-bore ...

Question

A 54-year-old man presents with haematemesis and melaena. He is pale, sweaty, tachycardic and hypotensive. After initial ABCDE assessment, large-bore IV access and fluid resuscitation have been established. What is the most appropriate next step?

Accepted Answer

Urgent upper gastrointestinal endoscopy within 24 hours

Answer

Discharge home with oral proton pump inhibitor

Answer

Arrange outpatient endoscopy within 2 weeks

Answer

Immediate elective surgery for presumed bleeding ulcer

Answer

Give oral iron and review in primary care

uk-plab-1 MCQ (SBA): Upper gastrointestinal bleeding

A 54-year-old man presents with haematemesis and melaena. He is pale, sweaty, tachycardic and hypotensive. After initial ABCDE assessment, large-bore IV access and fluid resuscitation have been established. What is the most appropriate next step?