1526 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
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
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 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