A 55-year-old man presents with melaena and dizziness. He is tachycardic at 110 bpm and his blood pressure is 98/60 mmHg. He takes Ibuprofen for back ...

Question

A 55-year-old man presents with melaena and dizziness. He is tachycardic at 110 bpm and his blood pressure is 98/60 mmHg. He takes Ibuprofen for back pain and drinks 40 units of alcohol per week. What is the most appropriate immediate management?

Accepted Answer

Insert large-bore IV access, resuscitate with fluids, and arrange urgent upper GI endoscopy

Answer

Arrange outpatient endoscopy within 2 weeks

Answer

Offer PPI tablets and discharge with follow-up

Answer

Give oral iron tablets and review in 1 month

Answer

Start oral antibiotics and schedule colonoscopy

uk-plab-1 MCQ (SBA): Upper GI bleed – emergency management

A 55-year-old man presents with melaena and dizziness. He is tachycardic at 110 bpm and his blood pressure is 98/60 mmHg. He takes Ibuprofen for back pain and drinks 40 units of alcohol per week. What is the most appropriate immediate management?