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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 ... DrEricStrong #Upper ... #Lower #GIBleed ... #Differential #
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Upper GI Bleed ... - A "positive" gastric ... Lower GI Bleed ( ... #Lower #GIBleed ... versus #diagnosis #gastroenterology
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 ... EGD Causes of Upper ... #GIBleed #Differential ... gastrointestinal #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 ... #Lower #GIBleed ... #differential #
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... Differential Diagnosis ... MatthewHoMD #Lower ... #GIBleed #Differential ... gastrointestinal #gastroenterology
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Algorithm Suspected lower ... Unstable (Rule out upper ... #GIBleed #management ... gastrointestinal #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Differential Diagnosis ... #GIBleed #LGIB ... #Differential #Diagnosis ... #gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Minnesota Tubes for Upper ... is a four-lumen gastric ... #Tubes #UGIB #Upper ... #GIBleed #management ... #instructions #gastroenterology
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Upper Gastronintestinal ... Bleed - Differential ... Disease (55%): - Gastric ... Hypertension (15%): • Gastro-esophageal ... Gastronintestinal #Differential
Pediatric Vomiting - Gastrointestinal and Systemic Causes - Differential Diagnosis Algorithm
Hepatobiliary:
 • Acute Hepatitis
 • Acute
Systemic Causes - Differential ... Pancreatitis Upper ... Gastroenteritis • Gastric ... Enterocolitis Upper ... • Gastritis Lower