A 63-year-old man presents with melena and Hgb 8.6 g/dL. He is on aspirin for secondary prevention. What is appropriate pre-endoscopy management?...

Question

A 63-year-old man presents with melena and Hgb 8.6 g/dL. He is on aspirin for secondary prevention. What is appropriate pre-endoscopy management?

Accepted Answer

Continue aspirin; manage bleeding and reassess after hemostasis

Answer

Stop aspirin for 4 weeks

Answer

Start clopidogrel instead of aspirin

Answer

Dual antiplatelet therapy

Answer

Give desmopressin empirically

us-abim MCQ (SBA): Upper GI Bleeding