A 34-year-old man presents to the emergency department (ED) with intermittent melena of 3 days’ duration. He is mildly fatigued but hemodynamically stable and denies any hematemesis or coffee ground emesis. His serum hemoglobin level is 9 g/dL. Intravenous (IV) fluids are started. Physical examination is essentially unremarkable. What is the best next step in caring for this patient?
سؤال مجاني 3 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. Perform an esophagogastroduodenoscopy (EGD)
Melena in a hemodynamically stable patient suggests an upper GI source. The first-line test is EGD, which can diagnose and treat the cause. Colonoscopy is used only if the EGD is negative. Transfusion is not needed: Hb 9 g/dL is above the threshold of <7 for a low-risk young patient. H. pylori serology and H2 blockers do not deal with the active bleed.
- المصدر
- Surgical Principles 💉.pdf · p. 110
Surgical Principles 💉.pdf · p. 111 - المحاضرة
- GI bleeding · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 102 Q27