Boerhaave syndrome

Videos

Notes

Boerhaave syndrome

Gastrointestinal system

Peritoneum and peritoneal cavity disorders

Peritonitis

Pneumoperitoneum

Assessments

Boerhaave syndrome

Flashcards

0 / 5 complete

USMLE® Step 1 questions

0 / 2 complete

High Yield Notes

13 pages

Flashcards

Boerhaave syndrome

of complete

Questions

USMLE® Step 1 style questions USMLE

of complete

A 45-year-old woman begins complaining of chest pain in the post-anesthesia care unit after undergoing an upper endoscopy for evaluation of esophageal varices. She states the pain radiates to the back. She also complains of dyspnea, nausea, and she has produced blood-tinged vomitus. Past medical history is notable for chronic alcohol use disorder and liver cirrhosis. Her temperature is 37.5°C (99.5°F), blood pressure is 107/61 mmHg, and pulse is 82/min. Physical examination shows a woman in acute distress. Crackles are heard while auscultating over the heart. Abdominal exam is notable for hepatosplenomegaly. CT imaging reveals the following:  



Reproduced from: Radiopedia  

Which of the following is the most likely cause of this patient’s presentation?  

External References

First Aid

2022

2021

2020

2019

2018

2017

2016

Boerhaave syndrome p. 386

Summary

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.

Elsevier

Copyright © 2023 Elsevier, its licensors, and contributors. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

Cookies are used by this site.

USMLE® is a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). COMLEX-USA® is a registered trademark of The National Board of Osteopathic Medical Examiners, Inc. NCLEX-RN® is a registered trademark of the National Council of State Boards of Nursing, Inc. Test names and other trademarks are the property of the respective trademark holders. None of the trademark holders are endorsed by nor affiliated with Osmosis or this website.

RELX