4 Hours Of Bright in Medicine / Internal Medicine — 72yo Man | Gastroenterology | SMLE Q#17779

SMLE Question #17779

Medicine / Internal Medicine Gastroenterology

Objective: OBJ-433

Last updated: February 2026
A 72-year-old man presents to the emergency department with 4 hours of bright red blood per rectum. He has a history of colonic polyps and hypertension. He feels lightheaded on standing. He appears pale with cool extremities. The abdomen is soft and non-tender. Digital rectal examination shows bright red blood. What is the most appropriate next step in management?

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