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 Best of Five 75

 

   

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BOF: 75

A 50-year-old male presents with haematemesis and melaena.  He gives a history of alcohol abuse of several years duration. On examination he has bilateral parotid enlargement, spider naevi, Dupuytren’s contracture, jaundice and ascites. Whilst awaiting endoscopy the initial management of this patient should be:

a)      Administration of intravenous pantoprazole

b)      Administer terlipressin

c)      Insert a Sengstaken tube

d)      Nasogastric tube and aspiration to decompress the stomach

e)      Administer sucralfate

 

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