Lower GIB

Question 1

DDX LGIB in neonate

Answer 1

CMPI
Fissure
Vit K deficiency bleed
coagulopathy
infectious colitis
malrotation
volvolus
intussusception
Hirschsprung’s disease/enterocolitos
duplication cyst
swallowed maternal blood

Question 2

DDX of LGIB in infants

Answer 2

CMPI
Fissure
coagulopathy
infectious colitis
malrotation
volvolus
intussusception
Hirschsprung’s disease/enterocolitos
duplication cyst
Meckle’s diverticulum
VEO IBD
polyp
vascular lesion

Question 3

DDX of LGIB in young children

Answer 3

Fissure
coagulopathy
infectious colitis/pseudomembranous colitis
malrotation
volvolus
intussusception
Hirschsprung’s disease/enterocolitos
duplication cyst
Meckle’s diverticulum
IBD
polyp
vascular lesion
HSP
HUS
vasculitis
vascular lesion
lymphonodular hyperplasia

Question 4

DDx of LGIB in adolescents

Answer 4

Fissure
infectious colitis/pseudomembranous colitis
duplication cyst
Meckle’s diverticulum
IBD
polyp
vascular lesion
HSP
HUS
vasculitis
vascular lesion
lymphonodular hyperplasia
ischemic colitis

Question 5

what is LGIB

Answer 5

bleeding below the ligament of Treitz

Question 6

Management of bleeding ?

Answer 6

ABC
Isotonic crystalloids or PRBC
NGT placement if melena
correct coagulopathy
endoscopy once stabilized
surgery for volvolus, Meckle’s, non-reducible intussusception
CT angiography
VCE
if UGIB PPI infusion +/- octerotide