A 70-year-old man presents with melena and postural dizziness. He is on low-dose aspirin for secondary prevention after an MI. BP is 95/60 mmHg lying ...

Question

A 70-year-old man presents with melena and postural dizziness. He is on low-dose aspirin for secondary prevention after an MI. BP is 95/60 mmHg lying and 80/50 mmHg standing. What is the MOST appropriate initial management?

Accepted Answer

Resuscitate with IV fluids, cease aspirin and arrange urgent endoscopy within 24 hours

Answer

Arrange outpatient endoscopy within 2 weeks

Answer

Start PPI alone and review in 24 hours

Answer

Give oral iron and continue aspirin

Answer

Send home with advice to increase fluid intake

au-acem MCQ (SBA): Upper gastrointestinal bleeding

A 70-year-old man presents with melena and postural dizziness. He is on low-dose aspirin for secondary prevention after an MI. BP is 95/60 mmHg lying and 80/50 mmHg standing. What is the MOST appropriate initial management?