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

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