Hematemesis

Stomach/Intestineal	Esophagus	Other
Peptic Ulcer Disease Gastritis AV Malformation Gatric malignancy Aortoenteric fistula	Esophagitis Varices Mallory-Weiss Tear AV Malformation Esophageal malignancy	Hemoptysis Swallowed Blood Coagulapathy Acute Pancreatitis

Tests/Diagnosis	Management	Disposition
Serial CBCs LFTs BUN: elevated by GI bleed Electrolytes Coags Type and Cross Hemmocult (Guaiac) Rockall score: risk for rebleed Endoscopy if >0	CABs Intubate if not protecting airway Two large bore IVs Oxygen Cardiac Monitor +/- NG Tube (if significant) Sengstaken-Blakemore: no benefit IV Fluids: Crystalloid PPI Drip Octreotide if varicies suspected Antibiotics: if liver disease Endoscopy Surgery if still not controlled	Gastroenterology Consult Observation & Discharge if stable Admit to Medicine/ICU Observation Endoscopy/Transfusion or further rescucitation

General Info	HPI/Physical
	History: Symptoms: Signs: