Upper GI Bleeding: Step-by-Step Approach (Flowchart)
The USMLE Adviser Upper GI Bleeding flowchart turns this presentation into a short series of yes/no decisions, the way Step 2 CK and Step 3 vignettes test it. Here is how it begins.
How the flowchart starts
The first question is cirrhosis / portal hypertension? If yes, think esophageal varices. If no, the chart asks whether there was retching / vomiting first, then about epigastric pain / NSAID use, and continues from there.

FAQs
How does the upper gi bleeding flowchart start?
The first question is cirrhosis / portal hypertension? If yes, think esophageal varices. If no, the chart asks whether there was retching / vomiting first, then about epigastric pain / NSAID use, and continues from there.
Where can I see the full upper gi bleeding flowchart?
The complete flowchart is page 92 of the USMLE Adviser e-book, Clinical Algorithms: Volumes 1 & 2, which has 232 flowcharts across 19 specialties.
Related flowcharts
Get the full flowchart
The USMLE Adviser e-book has 232 one-page clinical flowcharts across 19 specialties for Step 2 CK, Step 3 and the Match. Instant digital download.
From Clinical Algorithms: Volumes 1 & 2 by Dr. Adnan Memon, MD (page 92). Reviewed by the USMLE Adviser Team. For exam preparation only, not medical advice.
USMLE Adviser