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Boerhaave syndrome

Boerhaave syndrome

GI Week 1

GI Week 1

Acid reducing medications
Development of the digestive system and body cavities
Development of the teeth
Development of the tongue
Development of the gastrointestinal system
Colon histology
Stomach histology
Esophagus histology
Small intestine histology
Esophageal motility
Gastric motility
Chewing and swallowing
Pyloric stenosis
Gastroesophageal reflux disease (GERD)
Eosinophilic esophagitis (NORD)
Esophageal cancer
Peptic ulcer
Gastric cancer
Hirschsprung disease
Zollinger-Ellison syndrome
Esophageal disorders: Pathology review
GERD, peptic ulcers, gastritis, and stomach cancer: Pathology review
Congenital diaphragmatic hernia
Tracheoesophageal fistula
Esophageal web
Cleft lip and palate
Barrett esophagus
Achalasia
Mallory-Weiss syndrome
Plummer-Vinson syndrome
Boerhaave syndrome
Zenker diverticulum
Diffuse esophageal spasm
Gastric dumping syndrome
Gastroparesis
Gastroenteritis
Gastritis
Adrenergic antagonists: Beta blockers
Sympathomimetics: Direct agonists
Adrenergic receptors
Muscarinic antagonists
Cholinomimetics: Direct agonists
Cholinergic receptors
Helicobacter pylori

Key Takeaways

Boerhaave syndrome, also called spontaneous esophageal rupture, is a rare but serious condition that occurs when the lining of the esophagus tears. This can happen after vomiting or coughing extremely hard. Boerhaave syndrome is a medical emergency and requires immediate treatment. If not treated quickly, Boerhaave syndrome can lead to death.

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Flashcards

Boerhaave syndrome

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Questions

USMLE® Step 1 style questions USMLE

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A 52-year-old man is brought to the emergency department after complaining of excruciating chest pain that radiates to the back. He also reports shortness of breath and pain with swallowing. The symptoms began 30 minutes ago, after the patient consumed a large quantity of alcohol and had several episodes of forceful vomiting. The patient became concerned after he noted some blood tinged vomitus. Past medical history is notable for hypertension, alcohol use disorder, and liver cirrhosis. His temperature is 37.2°C (99.0°F), blood pressure is 142/78 mmHg, and pulse is 75/min. Abdominal exam is notable for hepatosplenomegaly. Which of the following clinical findings is most likely to be apparent on further physical examination?