Question

A 72-year-old man presents with melaena and dizziness. Observations: BP 96/60 mmHg, HR 110 bpm. He is pale and clammy. What is the most appropriate immediate management step?

Accepted Answer

Resuscitate with ABC approach and intravenous fluids, then arrange urgent endoscopy

Answer

Offer oral proton pump inhibitor and discharge

Answer

Arrange outpatient endoscopy within 2 weeks

Answer

Give oral iron and review haemoglobin in 1 month

Answer

Start high-dose oral steroids

Practice question

A 72-year-old man presents with melaena and dizziness. Observations: BP 96/60 mmHg, HR 110 bpm. He is pale and clammy. What is the most appropriate immediate management step?