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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 ... DrEricStrong #Upper ... #Lower #GIBleed ... Differential #Diagnosis #Table
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 ... #algorithm
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 GI bleed ... ± EGD Causes ... of Upper GI Bleed
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... Unstable (Rule out upper ... GI bleed) vs Stable ... GIBleed #management #Algorithm
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Helpful Clues for ... Distinguishing Upper ... Lower GI Bleeding ... Upper GI Bleed ... Lower GI Bleed (
Pediatric Acute Abdominal Pain - Differential Diagnosis Algorithm
Generalized/Migratory:
 • Intussusception
 • Gastroenteritis
 • Viral Illness
 •
Differential Diagnosis Algorithm ... Disease Right Upper ... Pneumonia Left Upper ... Differential #Diagnosis #Algorithm ... #Causes #Peds #
Causes of Acute Dyspnea - Differential Diagnosis Algorithm
Cardiovascular
 • Myocardial Infarction*
 • Cardiac Tamponade*
 • CHF
Pleural
Causes of Acute ... Differential Diagnosis Algorithm ... Pulmonary Embolism* Lower ... Asthma* • AECOPD Upper ... #Causes
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
obstruction - Able ... for non-calculus causes ... in pregnancy (lower ... access to the lower ... and upper urinary
Causes of Dysuria - Differential Diagnosis Algorithm
Pyuria - Leukocytes on Dipstick/Microscopy
 - Bacteriuria & Hematuria -
Differential Diagnosis Algorithm ... • Upper ... • Lower ... Neoplasm - Non-Pathogenic ... #Causes
Radiation Dose to Adults from Common Imaging Examinations
ABDOMINAL REGION
 - Computed Tomography (CT) — Abdomen and
Barium Enema (Lower ... GI X-ray) 8 mSv ... 3 years - Upper ... GI Study With Barium ... Nuclear #Comparison #Table