In an adult with an acute upper gastrointestinal bleed, which is the usual first investigation after resuscitation?
Answer and explanation
Correct answer: C. Upper gastrointestinal endoscopy
- Step 1: Endoscopy identifies and treats the source.
- Step 2: It is done within 24 hours after resuscitation.
Answer
Upper gastrointestinal endoscopy.
Why not the others: 'Barium meal and follow-through' is not recommended in acute bleeding; 'Abdominal MRI with contrast' is not first line; 'Capsule endoscopy of the small bowel' is not used in acute upper bleeding.
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