PART 2: Cardinal Manifestations and Presentation of Diseases
SECTION 6 Alterations in Gastrointestinal Function
41 Gastrointestinal Bleeding
![]() | Figure 41-1 Suggested algorithm for patients with acute upper gastrointestinal bleeding. Recommendations on level of care and time of discharge assume patient is stabilized without further bleeding or other concomitant medical problems. ICU, intensive care unit; PPI, proton pump inhibitor. |
view large |
![]() | Figure 41-2 Suggested algorithm for patients with acute lower gastrointestinal bleeding.*Some suggest colonoscopy for any degree of rectal bleeding in patients <40 years as well. †If massive bleeding does not allow time for colonic lavage, proceed to angiography. |
view large |