Causes of Lower Gastrointestinal Bleeding

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Transcript of Causes of Lower Gastrointestinal Bleeding

Page 1: Causes of Lower Gastrointestinal Bleeding

Acute Lower Gastrointestinal Bleeding

javier benitez (@jvrbntz)

In 5 slides or less...

Page 2: Causes of Lower Gastrointestinal Bleeding

Case Presentation● 56 year old man w PMH of HTN, COPD, cholecystectomy comes in bright red blood per rectum for the past 5 hours associated with dizziness, palpitations, and sweating.

● VS: BP 157/85 HR 104 RR 20 Temp 98.6 O2 sat 97% RA

● PE: Unremarkable except for generalized abdominal pain, tachycardia, and BRBPR

● List common causes of LGIB

Page 3: Causes of Lower Gastrointestinal Bleeding

Causes of LGIB

● Diverticular disease● Angiodysplasia● Colitis

IBD, ischemia, infectious, radiation● Postpolypectomy bleeding● Anorectal disease

Hemorrhoids, rectal varices, fissures ● Small bowel bleeding● Upper Gastrointestinal Bledding

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Reference

Gastrointestinal BleedingRita Kumar, M.D., Angela Mills, M.D.

Emergency Medicine Clinics of North America; 29 (2011), 239-252