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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
Pediatric Acute Abdominal Pain - Differential Diagnosis Algorithm
Generalized/Migratory:
 • Intussusception
 • Gastroenteritis
 • Viral Illness
 •
Pediatric Acute Abdominal ... Differential Diagnosis Algorithm ... Disease Right Upper ... Pneumonia Left Upper ... #Causes #Peds #
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
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
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 (
Abdominal Pain - Differential Diagnosis According to Localization of Abdominal Pain 

Abdominal pain can originate from
or non-GI conditions ... i.e., Cardiac, GI ... causes attributable ... (Table 2). ... #Localization #Causes
Pediatric Causes of Abdominal Pain

Surgical:
 - Acute appendicitis 
 - Intestinal obstruction including intussusception 
 -
Pediatric Causes ... of Abdominal Pain ... : - Upper respiratory ... infection - Lower ... Pain #Pediatrics #Causes
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... Consider tumor • Upper ... • Lower quadrant ... Lymphoma/Leukemia Lower ... mesenteric ischemia • GI