Template:Lower GI bleeding DDX: Difference between revisions

(Created page with "*Upper GI Bleeding *Diverticular disease **Painless bleeding **Up to 90% of episodes resolve spontaneously **Can result in massive hemorrhage *Vascular ectasia **Angiodysp...")
 
No edit summary
Line 1: Line 1:
===[[Lower gastrointestinal bleeding]]===
*[[Upper GI Bleeding]]
*[[Upper GI Bleeding]]
*Diverticular disease
*Diverticular disease
**Painless bleeding
**[[Diverticulitis]]
**Up to 90% of episodes resolve spontaneously
**Can result in massive hemorrhage
*Vascular ectasia
*Vascular ectasia
**Angiodysplasia, AVM
*[[Inflammatory bowel disease]]
*[[Inflammatory bowel disease]]
*Colitis
*Infectious colitis
**Infectious
**[[Mesenteric ischemia|Ischemic]]
***90% of cases occur in age >70yo
***Colon is predisposed to ischemia due to poor vascular ciculation, high bacterial count
***Causes: aneurysmal rupture, vasculitis, hypercoagulable, CV insult, IBS, slow motility
***Most cases resolve on own; 20% of cases requires surgical intervention
*[[Mesenteric Ischemia]]
*[[Mesenteric Ischemia]]
**Medical emergency that often leads to bowel necrosis
**Causes: thrombosis/embolism of SMA, mesenteric vein thrombosis, low arterial flow
**Associated w/ A fib, CHF, MI, age >60yo
**CT only 64% Sn, angiography is imaging study of choice
*[[Meckel's diverticulum]]
*[[Meckel's diverticulum]]
*Malignancy / polyps
*Malignancy / polyps
*[[Hemorrhoids]]
*[[Hemorrhoids]]
**Massive hemorrhage is unusual
*[[Aortoenteric fisulta]]
*Aortoenteric fisulta (after AAA repair)
*Rectal foreign body
**Low grade fever, abd pain, back pain, h/o graft, BRBPR
*Foreign body
*Rectal ulcer ([[HIV]], [[Syphilis]], [[STI]])
*Rectal ulcer ([[HIV]], [[Syphilis]], [[STI]])
*[[Anal fissure]]
*[[Anal fissure]]

Revision as of 04:17, 5 March 2015

Lower gastrointestinal bleeding

Retrieved from "https://www.wikem.org/w/index.php?title=Template:Lower_GI_bleeding_DDX&oldid=33255"