Gastro: Boerhaave Syndrome: Free MSRA Podcast

⚕️FREE MSRA PODCAST –Boerhaave Syndrome🎧 A clear, high-yield breakdown of this rare but life-threateningoesophageal rupture – perfect for examprep and real-life clinical scenarios. 🧠Key Learning Points📌Definition• Boerhaave Syndromeis a spontaneous, full-thickness rupture of theoesophagus, usually caused by a sudden spike in intra-oesophagealpressure (e.g. vomiting or retching).📌Causes & RiskFactors• Forceful vomitingor retching (most common)• Overeating oralcohol binges• Oesophagealdiverticula or malignancy• Bulimia nervosa(repeated self-induced vomiting)• Previous surgeryor radiotherapy to the chest💡Mnemonic:"POP-BAR" – Pressure, Overeating, Pouch (diverticula), Bulimia,Alcohol, Radiation📌Pathophysiology• Sudden pressurespike tears the distal oesophagus• Gastric contentsleak into the mediastinum• Causes severeinflammation (mediastinitis) and systemic sepsis if untreated📌Symptoms• Sudden, severechest or epigastric pain post-vomiting• Subcutaneousemphysema (crackling under skin)• Odynophagia anddysphagia• Tachycardia,dyspnoea, signs of shock/sepsis💡Mnemonic: "MyTummy Vibrates" = Mackler’s triad – Vomiting, Thoracic pain, Subcutaneousemphysema📌DifferentialDiagnosis• MI (acute coronarysyndrome)• Aortic dissection• Pulmonary embolism• Perforated pepticulcer• Spontaneouspneumomediastinum📌Diagnosis• Chest X-ray – APES findings:A = ApicalpneumothoraxP =PneumomediastinumE = EffusionS = Surgicalemphysema• CT scan with contrast – gold standard toconfirm tear and contamination• OGD – sometimes used cautiously to assessdamage📌Management• Surgical emergency – resuscitate and stabiliseASAP• Prompt surgical repair of the oesophageal tear• Broad-spectrum IV antibiotics to prevent sepsis• Nutritionalsupport via feeding tubes if repair is delayed• May requireoesophageal diversion or resection in severe cases📌Complications• Mediastinitis• Sepsis, systemicinflammatory response• Empyema, lungabscess• Oesophagealstrictures or fistulas• Gastro-oesophagealreflux📌Prognosis• Depends on speedof diagnosis and treatment• Mortality 10–40% –much higher with delayed intervention• Long-term recoverycan be complex with ongoing complications 📎More MSRA Resourcesfor Boerhaave Syndrome📝 Revision Notes: https://www.passthemsra.com/topic/boerhaave-syndrome-revision-notes/🧠 Flashcards: https://www.passthemsra.com/topic/boerhaave-syndrome-flashcards/💬 Accordion Q&A Notes: https://www.passthemsra.com/topic/boerhaave-syndrome-accordion-qa-notes/🚀 Rapid Quiz: https://www.passthemsra.com/topic/boerhaave-syndrome-rapid-quiz/🎓 Full Course: https://www.passthemsra.com/courses/gastroenterology-for-the-msra/ Hashtags#MSRA #MSRARevision#MSRATextbook #MSRAQuiz #MSRAQuestionBank #MSRAFlashcards #MSRAQ&ANotes#MSRAAccordions #MultiSpecialityRecruitmentAssessment #MSRAOnlineRevision#MSRARevisionWebsite #BoerhaaveSyndrome