68. Haematemesis Flashcards
1
Q
A 64 year old man has vomiting and severe chest pain after eating a large meal. His temperature is 37.6°C, pulse rate 130 bpm, BP 95/50 mmHg and respiratory rate 30 breaths per minute. There is palpable subcutaneous emphysema on the left side of his neck
a) Likely diagnosis
A
Boerhaave’s syndrome - Oesophageal rupture