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)
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