Mallory Weiss Tear Vs Esophageal Varices

Egd identifies the source of bleeding in 95 of cases.

Mallory weiss tear vs esophageal varices. Esophageal varices vs mallory weiss tear for alcoholics. The bleeding is usually more severe when mallory weiss tears are associated with portal hypertension and esophageal varices. The above post was thanked by. How can you differentiate between them based on the question stem vignette.

That the patient has aspirated vomitus or has pulmonary symptoms consistent with aspiration then it s more likely to be mallory weiss. Mallory weiss tear is upper git mucosal tear submucosal av plexus bleeding caused by the forceful retching. Mallory weiss syndrome is accompanied by severe pain which patients often locate in epigastric areas. The severity of the upper gi bleeding with mallory weiss syndrome is also reported to be higher with the concurrent presence of portal hypertension as well as esophageal varices.

Eighty percent of patients present with melena or hematochezia. The information on this site blog is not intended or implied to be a substitute for professional medical advice diagnosis or treatment. The most common causes are gastritis duodenal ulcer esophageal varices benign gastric ulcer esophagitis and mallory weiss tear. Hematemesis is a clear indicator of this syndrome.

Alcohol use a history of heavy alcohol use leading to vomiting has been noted in 40 to 80 percent of patients with mallory weiss syndrome in case series. Although boerhaave and mallory weiss syndromes have similar clinical manifestations they are differential diagnoses delineated by their symptoms. Mallory weiss tear vs esophageal varices in alcoholics. Patietn with esld cirrhosis large amounts of hematemesis stigmata.

The relationship between a hiatal hernia protrusion of an organ usually the upper part of the stomach into the chest cavity through the esophageal opening of the diaphragm and mallory weiss syndrome is still a. Start studying mallory weiss tears boerhaave syndrome and esophageal varices. Learn vocabulary terms and more with flashcards games and other study tools. Most tears heal within 7 to 10 days without treatment but mallory weiss tears can cause significant bleeding.

It presents as vomiting hematemesis epigastric pain so it means these are painful on the other hand esophageal varices are the painless bleeding of dilated submucosal veins in lower 1 3 of esophagus due to portal hypertension. So both of these can cause hematemesis and possibly lead to death in alcoholics. Depending on the severity of the tear surgery may be necessary to repair the damage. Start date jun.