189 results
Boerhaave’s syndrome - Overview

- Dr. Jonathan Carter 

#Boerhaaves #Syndrome #Diagnosis #Overview
Boerhaave’s syndrome ... Jonathan Carter #Boerhaaves
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Dysphagia - Differential ... Oropharyngeal Dysphagia ... Esophageal Dysphagia ... Sjogren, web • Mid esophagus ... MatthewHoMD #Dysphagia
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 ... Emphysema #Boerhaave
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Esophageal Causes of Dysphagia ... Oropharyngeal Dysphagia ... Goiter Esophageal Dysphagia ... Hypercontractile Esophagus ... - Functional dysphagia
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Bleed Upper: • Esophagus ... Mallory Weiss, Boerhaave
Boerhaave Syndrome on Endoscopy
Another spontaneous esophageal perforation (Boerhaave Syndrome) with gross mediastinal soiling from retching a
Boerhaave Syndrome ... esophageal perforation (Boerhaave ... DrBloodandGuts #Boerhaave
Boerhaave Syndrome on Endoscopy 

Boerhaave Syndrome with complete left wall dehiscence. This one went to surgery
Boerhaave Syndrome ... Endoscopy Boerhaave ... DrBloodandGuts #Boerhaave ... endoscopy #video #EGD #esophagus
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... • Solid-food dysphagia ... Extrinsic to esophagus ... ("Transfer dysphagia ... Esophageal Dysphagia
Cutaneous and Systemic Findings in Dermatomyositis
Cutaneous Findings:
 - Heliotrope sign and edema
 - Nail-fold changes
 -
Gastrointestinal - Dysphagia ... (upper esophagus ... reflux (lower esophagus
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
melena (70%), Dysphagia ... Necrosis #black #esophagus