A 66-year-old presents with melena and orthostasis. Hgb 7.2 g/dL; no active cardiac ischemia. Before endoscopy, which intervention is suggested by GI ...

Question

A 66-year-old presents with melena and orthostasis. Hgb 7.2 g/dL; no active cardiac ischemia. Before endoscopy, which intervention is suggested by GI bleeding guideline?

Accepted Answer

Start high-dose IV PPI and give erythromycin infusion; transfuse if Hgb ≤7 g/dL

Answer

Transfuse at Hgb ≤9 g/dL routinely

Answer

Delay endoscopy for 72 h

Answer

Start octreotide for all UGIB

Answer

Give aspirin 325 mg to prevent MI

us-abem MCQ (SBA): UGIB

A 66-year-old presents with melena and orthostasis. Hgb 7.2 g/dL; no active cardiac ischemia. Before endoscopy, which intervention is suggested by GI bleeding guideline?