Sudden Onset Of Multiple in Medicine / Internal Medicine — 68yo Man | Gastroenterology | SMLE Q#18414
SMLE Question #18414
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-IM-GI-UGIBLGIB-INIT
A 68-year-old man presents to the ED with sudden onset of multiple episodes of bright red blood per rectum over the last 3 hours. He has a history of hypertension and previously diagnosed colorectal polyps. He feels lightheaded and appears pale.
Vital signs: T 36.8°C, BP 160/90 mmHg, HR 110/min, RR 18/min, SpO2 98% on room air.
On exam, he has cool extremities and delayed capillary refill. Digital rectal exam shows bright red blood. Which of the following is the most appropriate initial management?
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