Question

A 32-year-old woman presents with episodic epigastric pain relieved by food and NSAID use for knee pain. She has melaena and tachycardia. Which is the most appropriate initial management priority?

Accepted Answer

Begin intravenous fluids and resuscitation, then urgent endoscopy

Answer

Start a proton pump inhibitor and arrange outpatient endoscopy

Answer

Give oral iron supplementation

Answer

Start NSAIDs for pain relief

Answer

Discharge with Gravol/Dimenhydrinate

Practice question

A 32-year-old woman presents with episodic epigastric pain relieved by food and NSAID use for knee pain. She has melaena and tachycardia. Which is the most appropriate initial management priority?