Gastrointestinal bleeding (peds): Difference between revisions

Line 40: Line 40:
**Hemobilia
**Hemobilia
**[[Ingested foreign body]]
**[[Ingested foreign body]]
===Upper GI Bleeding===
{| {{table}}
| align="center" style="background:#f0f0f0;"|'''<2 Mo'''
| align="center" style="background:#f0f0f0;"|'''2 Mo–2 Y'''
| align="center" style="background:#f0f0f0;"|'''>2 Y'''
|-
|
*Swallowed maternal blood
*Stress ulcer
*Vascular malformation
*Hemorrhagic disease of newborn (vitamin K deficiency)
*[[Coagulopathy]]/bleeding diathesis
||
*[[Gastroenteritis]]
*Toxic ingestion
*[[Mallory-Weiss tear]]
*[[Vascular malformation]]
*[[Esophagitis]]
*Stress ulcer
*Bleeding diathesis
*GI duplication
*[[Foreign body]]
||
*[[Gastroenteritis]]
*[[Gastroenteritis]]
*[[Mallory-Weiss tear]]
*[[Peptic ulcer disease]]
*[[Toxic ingestion]]
*[[Vascular malformation]]
*[[Gastritis]]
*[[Varices]]
*Hematobilia
*[[Foreign body]]
|}


===Lower GI Bleeding (peds)===
===Lower GI Bleeding (peds)===

Revision as of 23:02, 29 March 2022

This page is for pediatric patients. For adult patients, see: gastrointestinal bleeding

Background

  • 4 Questions
    • Is this really blood?
    • Is blood really coming from the GI tract?
      • Blood in diaper may also be vaginal or urinary source
    • Is it a small or large amount
    • Has this happened before?

Clinical Features

Differential Diagnosis

Upper GI Bleeding

Lower GI Bleeding (peds)

<2 Mo 2 Mo–2 Y >2 Y

Evaluation

  • CBC
  • NG lavage
    • Consider for suspectedsig. GI blood loss
    • Small child: 12F NG tube; instill 50cc saline
    • Older child: 14-16F NG tube; instill 100-200cc saline
    • Aspirate after 2-3min

Management

  • Contingent on underlying etiology

Disposition

See Also

Gastrointestinal Bleeding Pages

External Links

Video

References