244 results
Bulimia Nervosa: Complications
GASTROINTESTINAL
 • Dehydration & inability to digest food -> Constipation
 • Recurrent vomiting exposes
vomiting exposes esophagus ... and stomach to gastric ... small tears in the esophagus ... Esophageal Damage • Boerhaave
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 ... Emphysema #Boerhaave
Gastric Acid Secretion - Pathophysiology
Chief cell - Pepsinogen
Parietal cell - Acid, Intrinsic factor
G cell - Gastrin
Inhibitors:
Gastric Acid Secretion ... factor G cell - Gastrin ... Gastric - Distension ... secretory cells and gastrin ... hormone release #Gastric
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Bleed Upper: • Esophagus ... Mallory Weiss, Boerhaave
Ruptured esophagus on POCUS
Left anterolateral chest. What's the diagnosis?
Ruptured oesophagus. You can see the flap. Pleural
Ruptured esophagus ... Ruptured oesophagus ... space filled with gastric ... #Ruptured #esophagus ... clinical #ultrasound #gastric
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
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... air gently till gastric ... BE - distal esophagus ... #Barretts #Esophagus
Blakemore Tube Procedure Instructions

1) Resuscitate & Intubate  - After resuscitating. intubate with head of bed
stopcock in the gastric ... just above the gastric ... tube with "G" for gastric ... just above the esophagus ... tube with "E" for esophagus