6 Hours Of Multiple in Surgery — 74yo Woman | General Surgery | SMLE Q#11995
SMLE Question #11995
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 74-year-old woman presents with 6 hours of multiple episodes of bright red blood per rectum and mild crampy lower abdominal pain. She takes low-dose aspirin. Digital rectal examination shows bright red blood; no hemorrhoids or fissures are seen. She received 1 unit of packed red blood cells in the emergency department and remains clinically stable. What is the most appropriate next step in management to localize the source of bleeding and guide therapy?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.