Esophageal perforation Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 63-year-old woman presents to the emergency department two hours after undergoing an esophagogastroduodenoscopy (EGD) and esophageal dilatation, which was successful. She experienced sudden onset chest discomfort that began after she got home, which has now worsened. She describes the pain as sharp and retrosternal. Her past medical history includes GERD, esophageal stricture, and hypertension. Temperature is 37.1°C (98.8°F), blood pressure is 120/80 mmHg, pulse is 102/min, respiratory rate is 22/min, and oxygen saturation is 98% on room air. Chest auscultation is clear bilaterally with evidence of crepitus noted over the left anterior chest wall extending up to the neck. Abdomen is soft, non-tender, and non-distended. An electrocardiogram (EKG) shows sinus tachycardia without ST-segment or T-wave changes. Contrast esophagram shows a small limited leak. Which of the following is the best next step in management?  

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