UPPER GASTROINTESTINAL BLEED (Hematemesis/Melena)

UPPER GASTROINTESTINAL BLEED (HEMATEMESIS/MELENA) GI Blood in vomitus? /black, tarry stools Portal Hypertension (15%) Peptic Ulcer Disease(55%) Other Acute Hematemesis/Melena If Melena, 5-10% colorectal/small bowel. Exclude bleeding disorder. Gastric Acid Hypersecretion Non-Steroidal Anti-Inflammatory DrugsStress (ICU Setting) Helicobacter Pylori Mallory Weiss Tear Tumors Esophagitis/Gastritis Retching? Gastroesophageal varices Zollinger-Ellison Syndrome Benign Malignancy Denotes acutely life-threatening conditions