A 64-year-old man presents with large-volume haematemesis and melaena. He is tachycardic and hypotensive. After initial ABC resuscitation and fluid bo...

Question

A 64-year-old man presents with large-volume haematemesis and melaena. He is tachycardic and hypotensive. After initial ABC resuscitation and fluid bolus, what is the most appropriate next step according to NICE upper GI bleeding guidance?

Accepted Answer

Urgent endoscopy within 24 hours of admission (and immediately after resuscitation if unstable)

Answer

Arrange outpatient endoscopy within 2 weeks

Answer

CT abdomen with contrast before endoscopy

Answer

Discharge with proton pump inhibitor tablets

Answer

Start Aspirin for suspected coronary artery disease

uk-plab-1 MCQ (SBA): Acute upper gastrointestinal bleed

A 64-year-old man presents with large-volume haematemesis and melaena. He is tachycardic and hypotensive. After initial ABC resuscitation and fluid bolus, what is the most appropriate next step according to NICE upper GI bleeding guidance?