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Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm Upper ... , hematemesis, coffee-ground ... Consult GI ± EGD Causes ... of Upper GI Bleed
Coffee Ground Emesis: Appearance of vomitus that occurs with acute upper intestinal bleeding.
Photo Credit: John Rossettie,
Coffee Ground Emesis ... occurs with acute upper
Causes of upper gastrointestinal bleeding - An Illustrated Differential Diagnosis

#Diagnosis #Differential #UpperGI #Bleeding #Diagram #Causes

** GrepMed
Causes of upper ... Bleeding #Diagram #Causes
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... Upper: • Esophagus ... Residency @CMC_IM #Upper ... differential #diagnosis #Causes
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... Erb's Palsy is caused ... damage to the upper ... palsy" is a common cause ... Dislocation - May cause
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Adenomyomatosis - May cause ... Epigastric or right upper ... quadrant pain, nausea ... epigastric or right upper ... quadrant pain, nausea
Causes of Acute Dyspnea - Differential Diagnosis Algorithm
Cardiovascular
 • Myocardial Infarction*
 • Cardiac Tamponade*
 • CHF
Pleural
Causes of Acute ... Asthma* • AECOPD Upper ... Diagnosis #Algorithm #Causes
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
breathing Pulmonary Causes ... Pneumothorax • Upper ... PVFM) Cardiac Causes ... Hematologic Causes ... acidosis of any cause
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper ... supplying the lung bases ... non-perfused vessels and causes ... the lower to the upper ... Views of the upper
Right Upper Quadrant Pain
Liver:
 - Infectious: Acute viral hepatitis, Liver abscess
 - Non-infectious: hepatitis (Alcohol, Medications),
Right Upper Quadrant ... differential #diagnosis #causes ... abdominalpain #right #upper