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Symptoms and Signs - Differential Diagnosis of Upper GI Bleeding
• Swallowed hemoptysis
• Oral or pharyngeal lesions: swallowed blood from nose or oropharynx
• Gastric: peptic ulcer (including Cushing’s and Curling’s ulcers), gastritis, angiodysplasia, gastric neoplasms, hiatal hernia, gastric diverticulum, pseudoxanthoma elasticum, Rendu Osler-Weber syndrome
• Esophageal: varices, ulceration, esophagitis, Mallory-Weiss tear, carcinoma, trauma
• Duodenal: peptic ulcer, duodenitis, angiodysplasia, aortoduodenal fistula, duodenal diverticulum, duodenal tumors, carcinoma of ampulla of Vater, parasites (e.g., hookworm), Crohn’s disease
• Biliary: hematobilia (e.g., penetrating injury to liver, hepatobiliary malignant neoplasm, endoscopic papillotomy)
• Swallowed hemoptysis
• Oral or pharyngeal lesions: swallowed blood from nose or oropharynx
• Gastric: peptic ulcer (including Cushing’s and Curling’s ulcers), gastritis, angiodysplasia, gastric neoplasms, hiatal hernia, gastric diverticulum, pseudoxanthoma elasticum, Rendu Osler-Weber syndrome
• Esophageal: varices, ulceration, esophagitis, Mallory-Weiss tear, carcinoma, trauma
• Duodenal: peptic ulcer, duodenitis, angiodysplasia, aortoduodenal fistula, duodenal diverticulum, duodenal tumors, carcinoma of ampulla of Vater, parasites (e.g., hookworm), Crohn’s disease
• Biliary: hematobilia (e.g., penetrating injury to liver, hepatobiliary malignant neoplasm, endoscopic papillotomy)
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