5797 results
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
- Differential Diagnosis ... Acute Hematemesis/Melena ... stools - If Melena ... #Hematemesis #Melena ... #Differential #Diagnosis
Black and Bloody Stools - Melena and Hematochezia
Melena - Refers to passage of black, tarry (sticky
Bloody Stools - Melena ... and Hematochezia Melena ... In infants, melena ... #Melena #Hematochezia ... #Diagnosis #Differential
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
hematemesis and/or melena ... Can present with melena ... comparison #versus #diagnosis
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Hematemesis and/or melena ... chest pain, Sepsis Diagnosis ... black #esophagus #diagnosis
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
bleed Suspected: Melena ... #Differential #Diagnosis
Symptoms and signs of Leptospirosis
Acute phase:
 - Fever and headache
 - Conjunctival suffusion, jaundice, and photophobia
Kidney failure - Melena ... Symptoms #signs #diagnosis
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
- Differential Diagnosis ... , hematemesis, melena ... #Differential #Diagnosis
IgA Vasculitis – Henoch Scholein Purpura: Pathogenesis and Clinical Findings

 - Infectious Agents - 50% have
(hematemesis, melena ... Pathophysiology #Diagnosis
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... • Hematemesis/melena ... Reflux #Disease #diagnosis
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
hematemesis and/or melena ... retrosternal chest pain Diagnosis ... Esophageal #Necrosis #diagnosis