A 58-year-old man presents with large-volume haematemesis and melena. He is pale, diaphoretic, and hypotensive at 88/50 mm Hg, heart rate 120 beats/mi...

Question

A 58-year-old man presents with large-volume haematemesis and melena. He is pale, diaphoretic, and hypotensive at 88/50 mm Hg, heart rate 120 beats/min. What is the most appropriate immediate management step?

Accepted Answer

Rapid intravenous crystalloid resuscitation and blood products as needed, followed by early endoscopy

Answer

Urgent upper endoscopy without resuscitation

Answer

Start high-dose oral proton pump inhibitor and discharge home

Answer

Nasogastric lavage only

Answer

Immediate elective beta-blocker therapy

ca-mccqe1 MCQ (SBA): Upper gastrointestinal haemorrhage

A 58-year-old man presents with large-volume haematemesis and melena. He is pale, diaphoretic, and hypotensive at 88/50 mm Hg, heart rate 120 beats/min. What is the most appropriate immediate management step?