11 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 ... #Lower #GIBleed ... Diagnosis #Table
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Upper GI bleed ... of Upper GI Bleed ... #GI #Bleed #UGIB ... #Diagnosis #management
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... #Lower #GIBleed ... #differential # ... diagnosis #Causes
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Trauma • GI ... Retroperitoneal bleed ... exacerbation (any cause ... flow) - Massive pulmonary ... #Table #CriticalCare
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Ureter/Bladder (Upper ... Infection (Viral/Bacterial ... Pseudohematuria: • GI ... bleed • Menstruation ... #Diagnosis #causes
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... Gastronintestinal Bleed ... GI bleed, Diverticular ... bleed, • Acute ... #Causes
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
• Infection: Bacterial ... Bevacizumab Mimics: • GI ... bleed: esophageal ... #Diagnosis #pulmonary ... #causes
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... Lung #Abscess #pulmonary ... #differential # ... causes #management ... #treatment #diagnosis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Peritonitis DIAGNOSTICS ... TMP-SMX • Active upper ... GI bleed: use IV ... #management #prophylaxis ... #treatment
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
inflammation of the upper ... and lower respiratory ... tract, and often causes ... neuropathy - GI ... in extremities, upper