16 results
Differential Diagnosis in Upper and Lower GI Bleed
 
- By Dr. Eric Strong @DrEricStrong 

#Upper #Lower
Differential Diagnosis ... in Upper and Lower ... GI Bleed - By ... #GIBleed #Differential ... #Diagnosis #Table
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Consult GI ± EGD Causes ... of Upper GI Bleed ... #UGIB #GIBleed ... #Differential #Diagnosis
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Differential Diagnosis ... Post-Polypectomy Bleeding ... #GIBleed #LGIB ... #Differential #Diagnosis
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... Upper GI Bleed ... Lower GI Bleed ( ... #GIBleed #comparison ... #versus #diagnosis
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... CMC_IM #Upper #Lower ... #GIBleed #differential ... #diagnosis #Causes
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... Retroperitoneal bleed ... exacerbation (any cause ... #Table #CriticalCare
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... hematuria + clots ➔ Lower ... of Glomerular Bleeding ... Pseudohematuria: • GI bleed ... #Diagnosis #causes
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... Gastronintestinal Bleed ... BRISK Upper GI bleed ... , Diverticular bleed ... #Causes
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Gastronintestinal Bleed ... - Differential ... Diagnosis Algorithm ... - Exclude bleeding ... #Causes
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
• Should be on differential ... may be herald bleed ... Typical "herald bleed ... patients with massive bleed ... the OR • HD stable