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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 - ... Upper GI bleed ... of Upper GI Bleed ... #GI #Bleed #UGIB ... #Diagnosis #management
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
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Helpful Clues for ... Lower GI Bleeding ... Upper GI Bleed ... Lower GI Bleed ( ... comparison #versus #diagnosis
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... Ureter/Bladder (Upper ... Pseudohematuria: • GI ... bleed • Menstruation ... #Diagnosis #causes
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Trauma • GI ... Retroperitoneal bleed ... exacerbation (any cause ... #Table #CriticalCare
Pediatric Acute Abdominal Pain - Differential Diagnosis Algorithm
Generalized/Migratory:
 • Intussusception
 • Gastroenteritis
 • Viral Illness
 •
Acute Abdominal Pain ... - Differential ... Diagnosis Algorithm ... Disease Right Upper ... #Causes #Peds #
Causes of Low Back Pain - Differential Diagnosis
Intrinsic Spine: Lumbar strain, Herniated nucleus pulposus, Compression fracture,
Causes of Low Back ... Pain - Differential ... aneurysm; • GI ... BrighamChiefs #Lower ... #Diagnosis #causes
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Acute Abdominal Pain ... (<72 hours) - Differential ... Diagnostic Algorithm ... surgical abdomen Upper ... Lower quadrant
Pediatric Causes of Abdominal Pain

Surgical:
 - Acute appendicitis 
 - Intestinal obstruction including intussusception 
 -
Pediatric Causes ... Extra-abdominal: - Upper ... infection - Lower ... #Differential # ... Diagnosis #Peds