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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