- The Bulging Fontanelle10:47Advances in Hemophilia Therapies - Part 1Free Chapter19:51Paper Chase #1 | High Flow Oxygen in Bronchiolitis6:27Babywearing19:55Thyroid Disorders in Children19:49Paper Chase #2 | Inhaled Steroids and Asthma Exacerbations8:42Advances in Hemophilia Therapies - Part 217:53Paper Chase #3 | Prenatal Mutlivitamins and Autism4:31PECARN Updates - A Head Injury Decision Tool22:30Paper Chase #4 | Effect of Parental Dieting Advice on Kids5:18Upper GI Bleeding in Kids26:02Paper Chase #5 | Does the Influenza Vaccine Make People Sick6:17The Summary20:45
Causes for upper GI bleed vary by age of the child. In newborns, upper GI bleeds can be due to swallowed maternal blood, vitamin K deficiency, or dietary protein intolerance. In older children, the causes can be more varied including foreign body ingestions, Mallory-Weiss tears, or peptic ulcers. Most patients can be managed expectantly assuming a stable exam and labs. If there is concern for ongoing bleeding, these children can benefit from emergent endoscopy to identify cause and potentially ligate active bleeding.