11 results
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
: • Bowel: Diverticular ... sarcoma, Mesenteric ischemia ... Inflammatory: Ischemic ... colitis, UC/Chrons ... (IBD), Radiation
Ischemic Colitis on Colonoscopy
35yo male, PR bleeding, mucoid stool, tennesmus, abdominal cramping pain, low grade fever,
Ischemic Colitis ... consistent with Ischemic ... Fwl Tan #Ischemic ... #Colitis #Colonoscopy ... #endoscopy #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Inflammatory: - Ischemic ... Colitis - IBD ... Medicine @SCVMCMed #Lower ... Differential #Diagnosis #gastroenterology
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... Inflammatory: Ischemic ... colitis, IBO, Infectious ... MatthewHoMD #Lower ... gastrointestinal #gastroenterology
Ischemic Colitis on Colonoscopy
80 F with Afib with acute abdominal pain and syncope.
Ischemic colitis (full thickness)
Ischemic Colitis ... Ischemic colitis ... DrBloodandGuts #Ischemic ... #Colitis #Colonoscopy ... #clinical #colon
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... immuno-therapy), Ischemic ... (irritable bowel ... #inflammatroy #bowel ... differential #diagnosis #gastroenterology
Endoscopic Findings in Active Ulcerative Colitis
 • Ulcer with spontaneous bleeding
 • Erythema
 • Mucosal scar
Endoscopic Findings ... Active Ulcerative Colitis ... #UC #clinical # ... gastroenterology ... #colonoscopy
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Family history of IBD ... cardiac causes • Lower ... Chronic mesenteric ischemia ... • Mesenteric ischemia ... Differential #Diagnosis #gastroenterology
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... colon or small bowel ... , asymptomatic IBD ... bleed, • Acute colitis ... (ischemia, infectious
Diarrhea with Normal Colonoscopy
 • Colonic: Bile acid malabsorption, Microscopic colitis, Overflow diarrhoea, Missed pathology
 •
Diarrhea with Normal Colonoscopy ... malabsorption, Microscopic colitis ... coeliac), Short bowel ... syndrome, Ischaemia ... 19) • Others: IBS-D