1. Signs and symptoms of an Upper GI bleed in the pediatric patient
-most common presentation is hematemesis
-melena also common presentation
-many things mimic GI bleed -> food coloring, raw meats, swallowed blood from oropharynx
2. Differential diagnosis for acute pediatric upper GI bleed
-determine if variceal vs nonvariceal
-variceal bleed (uncommon but can be life threatening)-> portal HTN from congenital liver pathologies
-mucosal bleed -> gastritis, esophagitis, caustic ingestion, foreign body most common in pediatrics
3. ED diagnostic workup for an upper GI bleed in a pediatric patient
-CBC, BMP, LFT's, and Type/Cross essential to the workup
4. ED Management of Pediatric Upper GI bleed patient
-Place an NG tube
-Get GI, Surgery, and Interventional Radiology Involved early
-Octreotide and vasopressin are important treatments for variceal bleed
-For mucosal bleeds control acid production
-most common presentation is hematemesis
-melena also common presentation
-many things mimic GI bleed -> food coloring, raw meats, swallowed blood from oropharynx
2. Differential diagnosis for acute pediatric upper GI bleed
-determine if variceal vs nonvariceal
-variceal bleed (uncommon but can be life threatening)-> portal HTN from congenital liver pathologies
-mucosal bleed -> gastritis, esophagitis, caustic ingestion, foreign body most common in pediatrics
3. ED diagnostic workup for an upper GI bleed in a pediatric patient
-CBC, BMP, LFT's, and Type/Cross essential to the workup
4. ED Management of Pediatric Upper GI bleed patient
-Place an NG tube
-Get GI, Surgery, and Interventional Radiology Involved early
-Octreotide and vasopressin are important treatments for variceal bleed
-For mucosal bleeds control acid production
