Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency anemia)
 • Colorectal cancer
 • Angiodysplasia (colon or small bowel)
 • Occult UGI bleeding (ulcer, esophagitis, gastritis, cancer)
 • Other: small bowel tumors, asymptomatic IBD

Overt Bleeding
In Patient
 • RULE OUT BRISK Upper GI bleed, Diverticular bleed,
 • Acute colitis (ischemia, infectious, inflammatory),
 • Small bowel source (e.g. Meckel's, tumor),
 • Angiodysplasia
Out Patient
 • Perianal Disease (most common)
 • Inflammatory Bowel Disease
 • Colorectal Cancer

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Calgary Blackbook @CalgaryBlackBook · 4 years ago
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