Question

A 58-year-old with melena and tachycardia presents 6 hours after onset. Hemoglobin 8.1 g/dL, BUN 38 mg/dL. After resuscitation, what is the next best step in management?

Accepted Answer

Start continuous IV PPI and perform endoscopy within 24 hours

Answer

Start octreotide and avoid endoscopy for 72 hours

Answer

Give erythromycin and discharge

Answer

Start empiric steroids

Answer

Begin anticoagulation for DVT prophylaxis immediately

Practice question

A 58-year-old with melena and tachycardia presents 6 hours after onset. Hemoglobin 8.1 g/dL, BUN 38 mg/dL. After resuscitation, what is the next best step in management?