Embeded Suggestion

Rejected at 10:53 a.m. Apr, 24, 2026 ] by neurotherapy

Author: bh531

Rejected at 10:53 a.m. on April 24, 2026 by neurotherapy

Related Note: 1747370295864

Type of change: Other

Rationale for change

Since it's rare for patients to present with this triad, perhaps "classically presents" isn't the best wording? How is "may present with"

Rejection reason

as discussed

Current Suggested

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Extra

Extra (Synced)

Personal Notes

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Missed Questions

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eTG Complete

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Talley & O'Connor

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Additional Resources

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Additional Resources (Synced)

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Source

One by one

#Malleus_CM::#Subjects::Surgery::01_General_Surgery::01_Oesophageal_Disease::Boerhaave_Syndrome::06_Clinical_Features #Malleus_CM::#Yield::High #Malleus_CM::#Subjects::Gastroenterology::01_Oesophageal_Diseases::02_Structural_&_Inflammatory_Disorders::Boerhaave_Syndrome::06_Clinical_Features #Malleus_CM::#Resources_by_Rotation::Surgery::General_Surgery #Malleus_CM::#Resources_by_Rotation::Internal_Medicine::Gastroenterology

Feature	Boerhaave Syndrome	Mallory-Weiss Syndrome
Pathology	Full-thickness oesophageal rupture	Partial-thickness mucosal tear
Risk Factors	Alcoholism, overindulgence in food, increased oesophageal pressure	Alcohol use, hiatal hernia, recurrent emesis
Clinical Presentation	Retrosternal chest pain, respiratory distress, subcutaneous emphysema, vomiting, septic shock	Haematemaesis, vomiting, epigastric pain
Location	Distal oesophagus, left sided	Gastro-oesophageal junction
Complications	Mediastinitis, sepsis, shock, ARDs, pleural effusion	Massive/recurrent haemorrhage (uncommon), progression to transmural rupture (rare)
Investigations/Imaging	CXR, CT contrast swallow	Upper endoscopy
Treatment	Surgery	Conservative: antiemetics + PPIs Endoscopic haemostasis if ongoing or recurrent bleeding