Profuse Fresh Bleeding Per in Surgery — 70yo Man | General Surgery | SMLE Q#932
SMLE Question #932
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 70-year-old man presents with profuse fresh bleeding per rectum for 3 hours. He is pale, confused, and unable to provide a history. Digital rectal examination shows fresh blood with no palpable mass. He has received multiple units of packed red blood cells, but he remains in shock with worsening mental status. What is the most appropriate next step in management?
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