A 57-year-old man with nonvariceal UGI bleeding presents to the ED. Glasgow-Blatchford score is 0. Vitals are stable, Hgb 13.4 g/dL, BUN 14 mg/dL. Wha...

Question

A 57-year-old man with nonvariceal UGI bleeding presents to the ED. Glasgow-Blatchford score is 0. Vitals are stable, Hgb 13.4 g/dL, BUN 14 mg/dL. What management is reasonable?

Accepted Answer

Discharge with outpatient follow-up

Answer

Urgent endoscopy within 6 hours for all cases

Answer

Immediate transfusion to Hgb 15 g/dL

Answer

Octreotide infusion and ICU admit

Answer

Mandatory admission for observation

us-abem MCQ (SBA): Upper GI Bleeding

A 57-year-old man with nonvariceal UGI bleeding presents to the ED. Glasgow-Blatchford score is 0. Vitals are stable, Hgb 13.4 g/dL, BUN 14 mg/dL. What management is reasonable?