GI bleed Flashcards
1
Q
What is Boerhaave syndrome?
A
spontaneous perforation of the esophagus that results from a sudden increase in intraesophageal pressure combined with negative intrathoracic pressure (eg, severe straining or vomiting)
2
Q
What is the name of the triad that features in Boerhaave syndrome?
A
Mackler’s triad
3
Q
What are the features of Mackler’s triad?
A
vomiting, chest pain and subcutaneous emphysema.
4
Q
Which level of amylase is likely diagnostic of pancreatitis?
A
> 300 (although surgeons will say >1000 sometimes)
5
Q
60 year old female with RUQ- what is the most likely diagnosis?
A
Gallstones
6
Q
75 year old male with RUQ, what is a common diagnosis?
A
ascending cholangitis
