Question

A 63-year-old man presents with haematemesis and melaena. He is tachycardic and hypotensive. Haemoglobin is 78 g/L. He is resuscitated with intravenous crystalloids and packed red blood cells. After stabilisation, which of the following is the most appropriate next management step according to Canadian guidelines for upper gastrointestinal bleeding?

Accepted Answer

Arrange urgent upper endoscopy within 24 hours with intravenous proton pump inhibitor therapy

Answer

Discharge home with proton pump inhibitor tablets and outpatient endoscopy

Answer

Start empiric high-dose oral iron therapy only

Answer

Order CT abdomen before any endoscopic evaluation

Answer

Start prophylactic anticoagulation immediately to prevent venous thromboembolism

Practice question