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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 ... Aortoenteric fistula Lower ... #Lower #GIBleed ... #algorithm
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Suspected lower ... Unstable (Rule out upper ... GI bleed) vs Stable ... MatthewHoMD #Lower
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 ( ... #Lower #GIBleed
Pediatric Acute Abdominal Pain - Differential Diagnosis Algorithm
Generalized/Migratory:
 • Intussusception
 • Gastroenteritis
 • Viral Illness
 •
Pyelonephritis • Right Lower ... Pyelonephritis • Left Lower ... Pneumonia Right Lower ... Dysmenorrhea Left Lower ... #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
Pediatric Vomiting - Gastrointestinal and Systemic Causes - Differential Diagnosis Algorithm
Hepatobiliary:
 • Acute Hepatitis
 • Acute
Pancreatitis Upper ... Enterocolitis Upper ... • Gastritis Lower ... Incarcerated Hernia Lower ... #Causes #Peds #
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
GI Losses - Gastric
 • Vomiting
 • NG suction
GI
Causes of Metabolic ... GI Losses - Gastric ... • NG suction GI ... Losses - Lower ... #Causes
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
hematuria + clots ➔ Lower ... Ureter/Bladder (Upper ... and Lower urinary ... tract) Causes of ... Pseudohematuria: • GI
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Differential Diagnostic Algorithm ... surgical abdomen Upper ... musculoskeletal causes ... Lower quadrant ... genitourinary causes