A 65 years old woman with known duodenal ulcer being treated by H2 blocker therapy is admitted with upper gastrointestinal bleeding. After blood replacement is begun the next step in her management should be:

Question

Accepted Answer

Institute anti H. pylori treatment

Answer

Repeated gastric lavage

Answer

Endoscopy and coagulation of bleeding vessel

Answer

Pylor duodenotomy and oversewing of the bleeding

A 65 years old woman with known duodenal ulcer being treated by H2 blocker therapy is admitted with upper gastrointestinal bleeding. After blood replacement is begun the next step in her management should be:

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