6 Hours Of Multiple in Medicine / Internal Medicine — 78yo Man | Gastroenterology | SMLE Q#11781
SMLE Question #11781
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 78-year-old man presents to the emergency department with 6 hours of multiple episodes of bright red blood per rectum mixed with stool. He feels lightheaded on standing. He has hypertension and takes low-dose aspirin. He appears pale and diaphoretic. Digital rectal examination shows bright red blood mixed with stool. Two large-bore IV cannulas are inserted. What is the most appropriate next step in management?
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