Gastrointestinal bleeding (peds): Difference between revisions

 
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==Differential Diagnosis==
==Differential Diagnosis==
===Upper GI Bleeding (peds)===
{{Upper GI bleeding peds DDX}}
*<2mo
**Swallowed maternal blood (from chapped nipples)
**[[gastric ulcer disease|Stress ulcer]]
**Vascular malformation
**Hemorrhagic disease of newborn ([[vitamin K deficiency]])
**[[Coagulopathy]]/bleeding diathesis
 
*2mo–2yr
**[[Acute gastroenteritis (peds)|Gastroenteritis]]
**[[Toxic ingestion]]
**[[Mallory-Weiss tear]]
**Vascular malformation
**[[Esophagitis]]
**[[gastric ulcer disease|Stress ulcer]]
**[[Coagulopathy]]/bleeding diathesis
**GI duplication
**[[Ingested foreign body]]
 
*>2yr
**[[Acute gastroenteritis (peds)|Gastroenteritis]]
**[[Mallory-Weiss tear]]
**[[Peptic ulcer disease]]
**[[Toxic ingestion]]
**Vascular malformation
**[[Gastritis]]
**[[Varices]]
**Hemobilia
**[[Ingested foreign body]]


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

Latest revision as of 23:48, 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

  • Blood in stool or vomit

Differential Diagnosis

Upper GI Bleeding (peds)

Lower GI Bleeding (peds)

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