Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
- Blood in vomitus?/black, tarry stools
- If Melena, 5-10% colorectal/small bowel.
- Exclude bleeding disorder.
Peptic Ulcer Disease (55%):
- Gastric Acid Hypersecretion
• Zollinger-Ellison
- Non-Steroidal Anti-Inflammatory Drugs
- Stress (ICU Setting)
- Helicobacter Pylori
Portal Hypertension (15%):
• Gastro-esophageal varices
Other:
• Mallory Weiss Tear
• Esophagitis / Gastritis
• Tumors
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