1569 results
Boerhaave Syndrome on Endoscopy
Another spontaneous esophageal perforation (Boerhaave Syndrome) with gross mediastinal soiling from retching a
Boerhaave Syndrome ... Another spontaneous esophageal ... perforation (Boerhaave ... DrBloodandGuts #Boerhaave ... Endoscopy #EGD #esophageal
Boerhaave’s syndrome - Overview

- Dr. Jonathan Carter 

#Boerhaaves #Syndrome #Diagnosis #Overview
Boerhaave’s syndrome ... Jonathan Carter #Boerhaaves
Boerhaave Syndrome 
Postemesis 
Iatrogenic (most common)
Left Posterolateral most common

Mackler's Triad:
Lower Chest Pain
Vomiting
Subcutaneous Emphysema

#Boerhaave #Syndrome #Diagnosis #Signs
Boerhaave Syndrome ... : Lower Chest Pain ... Emphysema #Boerhaave
Life Threatening Causes of Chest Pain - Differential Diagnosis Table

 • ACS
 • Aortic Dissection
 •
Causes of Chest Pain ... Tamponade • Esophageal ... ChestPain #Chest #Pain
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Embolism (chest pain ... • Gastro-Esophageal ... Pancreatitis • Esophageal ... Spasm • Esophageal
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... Causes of Chest Pain ... Causes of Chest Pain ... Causes of Chest Pain ... Mediastinitis • Esophageal
Boerhaave Syndrome on Endoscopy - Pleural Space

Massive Spontaneous Esophageal Perforation (Boerhaave Syndrome) in active COVID 19
Boerhaave Syndrome ... Massive Spontaneous Esophageal ... Perforation (Boerhaave ... #Boerhaave #Syndrome
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... state) predisposes esophageal ... retrosternal chest pain ... prevent further esophageal ... retrosternal or back pain
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Esophageal Crohn's ... Non-Traversable -> Esophagram ... Waseem_AhmedMD #Esophageal
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Epigastric/chest pain ... KBrag_MD #Acute #Esophageal