An upper endoscopy should be performed in this patient with presumed variceal hemorrhage within 12 hours, but only after she has been treated with standard pharmacotherapy (octreotide and antibiotics) and appropriately resuscitated to enable safe endoscopy. A blood pressure of 72/54 mm Hg is too low to be able to proceed immediately with a safe endoscopy
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- (no access) - MKSAP_17.pdf, p2719
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