A 70-year-old man presents with haematemesis and melaena. He is tachycardic and hypotensive. After initial resuscitation with IV fluids and blood, wha...

Question

A 70-year-old man presents with haematemesis and melaena. He is tachycardic and hypotensive. After initial resuscitation with IV fluids and blood, what is the most appropriate next step in managing his upper gastrointestinal bleed?

Accepted Answer

Arrange upper GI endoscopy immediately after resuscitation

Answer

Arrange urgent upper GI endoscopy within 24 hours

Answer

Discharge once haemodynamically stable

Answer

Start long-term proton pump inhibitor and review in clinic

Answer

Order CT abdomen before endoscopy

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

A 70-year-old man presents with haematemesis and melaena. He is tachycardic and hypotensive. After initial resuscitation with IV fluids and blood, what is the most appropriate next step in managing his upper gastrointestinal bleed?