Upper gastrointestinal (GI) bleeding Ddx
Posted by dkwinter

Hx
     Amount
     Duration
     Context (after severe vomiting, alcohol ingestion, nosebleed)
     Associated symptoms
          Constititional
          Nausea
          Pain
          Dyspepsia
     Medications
          Warfarin
          NSAIDs
PHx
     Peptic ulcer disease
     Liver disease
     Abdominal aortic aneurysm repair
     Easy bleeding

PE
     Vital signs, including orthostatics
     ENT
     CV exam
     Abdominal exam
     Rectal exam
Ddx
     Bleeding peptic ulcer
     Gastritis
     Gastric cancer
     Esophageal varices
     Mallory-Weiss tear