Boerhaave syndrome physical examination: Difference between revisions
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* Weak pulse | * Weak pulse | ||
* Hypotension | * Hypotension | ||
* [[Diaphoresis]] | |||
* Fever | |||
=== '''Skin''' === | === '''Skin''' === | ||
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=== Lungs === | === Lungs === | ||
* Normal | * Normal/Subcutaneous emphysema | ||
=== Heart === | === Heart === | ||
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=== Abdomen === | === Abdomen === | ||
* Normal | * Normal/Abdominal rigidity | ||
=== Back === | === Back === | ||
Revision as of 19:49, 28 December 2017
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Boerhaave syndrome Microchapters |
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Risk calculators and risk factors for Boerhaave syndrome physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical examination
Appearance of the Patient
The patient might be in moderate distress with epigastric pain and bleeding.
Vital Signs
- Tachycardia
- Weak pulse
- Hypotension
- Diaphoresis
- Fever
Skin
HEENT
- Normal
Neck
- Low Jugular venous pressure
Lungs
- Normal/Subcutaneous emphysema
Heart
Abdomen
- Normal/Abdominal rigidity
Back
- Normal
Extremities
- Normal
Genitourinary
- Normal
Neuromuscular
- Normal
Physical examination is usually not helpful, particularly early in the course. Subcutaneous emphysema (crepitation) is an important diagnostic finding but is not very sensitive, being present in only 9 of 34 patients (27 percent) in one series . A pleural effusion may be detected. A case report described presentation with an Enterococcal bacterial pericardial effusion.