Mallory Weiss Tear Flashcards
What is a Mallory Weiss tear?
Linear lower oesophageal mucosal tear due to sudden increased intrabdominal pressure
What is a typical history of a Mallory Weiss tear?
Young male with acute history of retching after a night out, eventually causing haematemesis
What are risk factors for Mallory Weiss tear?
Alcohol
Chronic cough
Bulimia (eating and vomiting)
Hyperemesis gravidarum (severe N+V during pregnancy)
What are symptoms of a Mallory Weiss tear?
Haematemesis (after retching/vomiting history)
If severe can be hypotensive
What is a the diagnosis more likely to be if there is portal/pulmonary hypertension or a history of liver disease with Mallory Weiss symptoms?
Oesophageal varices rupture
How is a Mallory Weiss tear diagnosed?
OesophagoGastroDuodenoscopy (OGD) to confirm
What is used to grade the severity of upper GI bleeds?
Rockall score
What is treatment for a Mallory Weiss tear?
Most spontaneously heal within 24 hours
May have endoscope give injection of heat treatment to stop bleeding or insert clip to close tear
What is a linear lower oesophageal mucosal tear due to sudden increased intrabdominal pressure called?
Mallory Weiss tear
