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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 GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... GI bleed Suspected ... GI Bleed: • Peptic ... #GI #Bleed #UGIB ... #GIBleed #Differential
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... Differential Diagnosis ... MatthewHoMD #Lower ... #GI #Bleed #LGIB ... #gastrointestinal
Schematic representation of the major sources of ammonia production and its excretory pathway (GI = gastrointestinal,
excretory pathway (GI ... = gastrointestinal ... bleed - Significant ... Hyperammonemia #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 ( ... #comparison #versus ... #diagnosis #gastroenterology
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 ... #differential # ... diagnosis #Causes
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... Gastronintestinal ... Bleed - Differential ... RULE OUT BRISK Upper ... GI bleed, Diverticular
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
inflammation of the upper ... and lower respiratory ... neuropathy - GI ... in extremities, upper ... differential #diagnosis
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... of GN or vasculitis ... Ureter/Bladder (Upper ... Pseudohematuria: • GI ... bleed • Menstruation
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... Differential Diagnosis ... mononeuritis multiplex • GI ... inflammation of the upper ... and lower respiratory