A 67-year-old man presents with recurrent passage of bright-red blood and clots. After initial fluid replacement, his blood pressure is 126/74 mmHg and pulse is 92 beats/minute, but he continues to pass approximately 250 mL of blood every 10 minutes and his haemoglobin is 86 g/L (130–170 g/L). He has no abdominal pain, previous inflammatory bowel disease or recent colonoscopy. Which one of the following is the most appropriate investigation to localise the active bleeding?
Keep going with ten more like this one.
Practise moreMore from Cardiovascular
See allA 76-year-old man reports that for three months he has felt light-headed and has twice nearly fainted walking up the hill to the shops, together with a tight fe…
Pre-internship · common
A 34-year-old man who injects heroin presents with two weeks of fevers, sweats, a cough and pleuritic chest pain on both sides. His temperature is 39.2 °C, puls…
Clinical rotations · middle twist
A 52-year-old Aboriginal woman from a community in Cape York presents with a week of palpitations and breathlessness on walking to the store. She had several ep…
Pre-internship · middle twist
A 68-year-old man is brought in by his wife after his third collapse in a month. Each time he has been sitting watching television, has suddenly gone grey and s…
Clinical rotations · middle twist
A 79-year-old woman is admitted with ongoing lower gastrointestinal bleeding and a haemoglobin concentration of 72 g/L (reference range 115–155). She is receivi…
Pre-internship · middle twist