Repeated Hematemesis Over 6 in Medicine / Internal Medicine — 35yo Man | Gastroenterology | SMLE Q#11259

SMLE Question #11259

Medicine / Internal Medicine Gastroenterology

Objective: OBJ-433

Last updated: February 2026
A 35-year-old man with heavy alcohol use presents with repeated hematemesis over 6 hours. He has jaundice, ascites, spider angiomas, and splenomegaly. He is treated with IV crystalloids and two large-bore IV cannulas are secured. What is the most appropriate next step in management?

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