A 58-year-old woman presents with melaena and dizziness after regular non-steroidal anti-inflammatory drug use. She is tachycardic but normotensive. A...

Question

A 58-year-old woman presents with melaena and dizziness after regular non-steroidal anti-inflammatory drug use. She is tachycardic but normotensive. After initial resuscitation, what is the most appropriate next step in management?

Accepted Answer

Start a proton pump inhibitor infusion and arrange urgent inpatient upper endoscopy within 24 hours

Answer

Discharge on a proton pump inhibitor and arrange outpatient endoscopy

Answer

Commence long-term H2-receptor antagonist therapy only

Answer

Delay endoscopy until a week after starting proton pump inhibitors

Answer

Start corticosteroids to reduce inflammation

au-acem MCQ (SBA): Upper gastrointestinal bleeding

A 58-year-old woman presents with melaena and dizziness after regular non-steroidal anti-inflammatory drug use. She is tachycardic but normotensive. After initial resuscitation, what is the most appropriate next step in management?