Blood in the Diaper

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 • 795 Ratings

🗓️ 13 May 2018

⏱️ 6 minutes

🔗️ Recording | iTunes | RSS

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Summary

The 4 Most Common Causes of Blood in Diaper Urinary crystals Will be guaiac negative Common in first few weeks of life Vaginal bleeding Common in newborn females as they withdraw from maternal estrogen Maternal blood Swallowed during birthing process Breastfeeding with cracked/bleeding nipples Anal fissures Common and will improve on its own Basic Approach […]

Transcript

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0:00.0	Hello, med students.
0:02.2	My name is Zach Olson and thank you for downloading this week's episode of the EM
0:07.4	Clerkship Podcast.
0:10.3	Let's do some peeds.
0:11.7	This is a smaller topic today.
0:14.3	Pretty straightforward, but you got to know it.
0:16.3	So let's just learn this now and be done with it.
0:19.0	This week we are talking about babies with bloody diapers.
0:24.7	The chief complaint might be GI bleed, vaginal bleeding.
0:29.2	Those are all bloody diapers.
0:30.6	Don't prematurely close, as we call it, based off of triage momentum.
0:36.4	What you need to remember today are the four common, usually benign
0:42.0	causes of bloody diapers. And those four causes are urinary crystals, vaginal bleeding, pooping,
0:51.0	swallowed maternal blood, and anal fissures. With with all of these the baby isn't going into
0:57.6	hemorrhagic shock or anything like that they are relatively straightforward in common but those are
1:03.7	the four that you need to remember urinary crystals vaginal bleeding maternal blood in the stool, and anal fissures.
1:12.7	So let's take this and turn it into a nice little protocol.
1:16.7	Baby comes into the department with, quote, blood in the diaper.
1:21.7	First step.
1:23.2	You got to test the bloody diaper for blood with a Gwaiac card because if it's negative, I think I know what's going on.
1:31.7	It's red urine crystals that look like blood.
1:36.9	Super common.
	...

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