A 58-year-old man with a history of cirrhosis due to chronic hepatitis C presents with haematemesis and melaena. He is tachycardic and hypotensive. Af...

Question

A 58-year-old man with a history of cirrhosis due to chronic hepatitis C presents with haematemesis and melaena. He is tachycardic and hypotensive. After initial resuscitation, what is the most appropriate next step in management?

Accepted Answer

Arrange urgent upper gastrointestinal endoscopy with variceal band ligation if varices are found

Answer

Start high-dose oral proton pump inhibitor and arrange outpatient endoscopy

Answer

Give oral iron and review in 1 week

Answer

Order a CT abdomen as first-line investigation

Answer

Discharge once vital signs have stabilised

au-amc MCQ (SBA): Variceal upper gastrointestinal bleeding

A 58-year-old man with a history of cirrhosis due to chronic hepatitis C presents with haematemesis and melaena. He is tachycardic and hypotensive. After initial resuscitation, what is the most appropriate next step in management?