12 Hours Of Large-volume in Medicine / Internal Medicine — 35yo Man | Gastroenterology | SMLE Q#11238
SMLE Question #11238
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 35-year-old man with heavy alcohol use presents with 12 hours of large-volume hematemesis. He has spider angiomas, gynecomastia, and splenomegaly. Two large-bore IV cannulas were placed, IV crystalloids given, and blood sent for type and crossmatch. He remains alert without ongoing massive bleeding. Based on suspected upper gastrointestinal bleeding in chronic liver disease, what is the most appropriate next step in management?
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