A 40-year-old man presents with melena and syncope. Blood pressure is 85/50 mmHg and heart rate 120 beats per minute. He takes regular ibuprofen for b...

Question

A 40-year-old man presents with melena and syncope. Blood pressure is 85/50 mmHg and heart rate 120 beats per minute. He takes regular ibuprofen for back pain. According to upper GI bleed management, what is the most appropriate immediate step?

Accepted Answer

Resuscitate with intravenous fluids and blood as needed and arrange urgent endoscopy

Answer

Arrange outpatient endoscopy within 2 weeks

Answer

Start high-dose proton pump inhibitor and discharge

Answer

Start oral iron therapy and arrange GP review

Answer

Observe in ED without intervention as bleeding has likely stopped

au-amc MCQ (SBA): Acute upper gastrointestinal bleed

A 40-year-old man presents with melena and syncope. Blood pressure is 85/50 mmHg and heart rate 120 beats per minute. He takes regular ibuprofen for back pain. According to upper GI bleed management, what is the most appropriate immediate step?