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Aetiology of haematemesis in children

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Causes include:

  • swallowed foreign body
  • hiatus hernia
  • oesophageal varices
  • gastritis and peptic ulceration
  • pyloric stenosis
  • bleeding diatheses, including thrombocytopaenia, haemophilia

Always in children an index of suspicion must be maintained for Munchausen by proxy.

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