Mallory Weiss and Boerhaave Syndrome pg 2223

Question 1

gastro esophageal junction is also called what?

Answer 1

squamo columnar junction

Question 2

How are Malloy Weiss tears characterized?

Answer 2

non penetrating vertical mucosal tear/laceration at the gastroesophageal junction

Question 3

what are some causes of mallory weiss tears?

Answer 3

sudden increase in transabdominal pressure
alcohol use with vomiting,

Question 4

what is boerhaves syndrome?

Answer 4

is a more severe laceration of the anterior esophagus associated with full perforation of the esophagus into the mediastinum

Question 5

what is the patient presentation of someone with mallor weiss or boerhaave syndrome?

Answer 5

alcohol user
S/S of upper GI bleed
history of retching, vomiting, or straining
hypovolemia with significant bleeding

Boerhaaves syndrome:
Hartmans sign :crunching sound on mediastinum
crepitus with palpation

Question 6

Lab for mallory weiss and boerhave

Answer 6

CBC to rule out anemia

Question 7

rad for mallory weiss and boerhaave?

Answer 7

upper endoscopy
x ray: will see mediastinal air (pneumo-mediastinum) with boerhaves.

Question 8

Treatment for mallory Weiss and boerhaave?

Answer 8

NPO
IV PPI
IV/IM Antiemetic

Boerhaave’s Syndrome: addition of IV antibiotics. Ertapenem 1g IV qD until seen by a doctor.

Question 9

complications of mallory weiss tear and boerhaaves:

Answer 9

sepsis, abscess formation, mediastinitis