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Variceal upper GI bleeding — RCPSC EM MCQ

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HardGI/Abdominal emergenciesVariceal upper GI bleedingRCPSC EM

A 55-year-old with cirrhosis vomits bright red blood. BP 88/54, HR 128, haemoglobin 78 g/L, INR 1.8, and he is confused but protecting his airway. What is the most appropriate initial management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Resuscitation with blood products, ceftriaxone, octreotide, and urgent endoscopy

Suspected variceal haemorrhage requires resuscitation, vasoactive therapy, antibiotics and urgent endoscopic source control.

Reference: Canadian Association of Gastroenterology cirrhosis/variceal bleeding guidance