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Upper GI Bleeding in Kids

Yvette Wild, MD, MPH, MAS, Lisa Patel, MD, and Solomon Behar, MD
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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.

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Land of the Rising Fontanelle Full episode audio for MD edition 188:47 min - 89 MB - M4AHippo Peds RAP July 2018 Written Summary 395 KB - PDF