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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 ... #Differential #
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 ... #Lower #GIBleed ... #differential #
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... Trauma • GI ... Retroperitoneal bleed ... contractility) - Acute
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... Gastronintestinal Bleed ... RULE OUT BRISK Upper ... GI bleed, Diverticular ... bleed, • Acute
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... potentially be an acute ... Consider tumor • Upper ... mesenteric ischemia • GI ... aneurysms • Acute
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... hematuria + clots ➔ Lower ... Ureter/Bladder (Upper ... Pseudohematuria: • GI ... bleed • Menstruation
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
the duodenum Clinical ... may be herald bleed ... Typical "herald bleed ... patients with massive bleed ... patients with acute
Algorithm for the management of patients presenting with acute Lower GI Bleed
High-risk patients
Multiple high-risk clinical features.a
presenting with acute ... Lower GI Bleed ... Multiple high-risk clinical ... few high-risk clinical ... #Lower #GIBleed
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... bleeding out (trauma, GI ... RP bleed) • Hypovolemic ... : GI (vomiting/diarrhea ... #criticalcare #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... bleeding out (trauma, GI ... RP bleed) • Hypovolemic ... : GI (vomiting/diarrhea ... #criticalcare #differential