Boerhaave syndrome laboratory findings: Difference between revisions
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{{CMG}} {{AE}} {{DM}} | {{CMG}} {{AE}} {{DM}} | ||
==Overview== | ==Overview== | ||
Laboratory findings often are nonspecific. Patients may present with leukocytosis. As many as 50% of patients with Boerhaave syndrome have a hematocrit value of 50% due to fluid loss into pleural spaces and tissues. | Laboratory findings often are nonspecific. Patients may present with [[leukocytosis]]. As many as 50% of patients with Boerhaave syndrome have a hematocrit value of 50% due to fluid loss into [[Pleural space|pleural spaces]] and [[tissues]]. | ||
==Laboratory Findings== | ==Laboratory Findings== | ||
Laboratory findings often are nonspecific. | * Laboratory findings often are nonspecific. | ||
* Patients may present with [[leukocytosis]]. As many as 50% of patients with Boerhaave syndrome have a [[hematocrit]] value of 50% due to fluid loss into [[pleural space]] and [[tissues]]. | |||
Patients may present with leukocytosis. As many as 50% of patients with Boerhaave syndrome have a hematocrit value of 50% due to fluid loss into pleural | * Many patients present with a pleural effusion. | ||
* [[Thoracentesis]] with examination of the [[pleural fluid]] can aid in [[diagnosis]] which may contain undigested food, [[pH]] less than 6, or have an elevated [[amylase]] level.<ref name="pmid2369229">{{cite journal |vauthors=Attar S, Hankins JR, Suter CM, Coughlin TR, Sequeira A, McLaughlin JS |title=Esophageal perforation: a therapeutic challenge |journal=Ann. Thorac. Surg. |volume=50 |issue=1 |pages=45–9; discussion 50–1 |year=1990 |pmid=2369229 |doi= |url=}}</ref> <ref name="pmid11856691">{{cite journal |vauthors=Maher MM, Lucey BC, Boland G, Gervais DA, Mueller PR |title=The role of interventional radiology in the treatment of mediastinal collections caused by esophageal anastomotic leaks |journal=AJR Am J Roentgenol |volume=178 |issue=3 |pages=649–53 |year=2002 |pmid=11856691 |doi=10.2214/ajr.178.3.1780649 |url=}}</ref> | |||
Many patients present with a pleural effusion. Thoracentesis with examination of the pleural fluid can aid in diagnosis which may contain undigested food, pH less than 6, or have an elevated amylase level.<ref name="pmid2369229">{{cite journal |vauthors=Attar S, Hankins JR, Suter CM, Coughlin TR, Sequeira A, McLaughlin JS |title=Esophageal perforation: a therapeutic challenge |journal=Ann. Thorac. Surg. |volume=50 |issue=1 |pages=45–9; discussion 50–1 |year=1990 |pmid=2369229 |doi= |url=}}</ref> <ref name="pmid11856691">{{cite journal |vauthors=Maher MM, Lucey BC, Boland G, Gervais DA, Mueller PR |title=The role of interventional radiology in the treatment of mediastinal collections caused by esophageal anastomotic leaks |journal=AJR Am J Roentgenol |volume=178 |issue=3 |pages=649–53 |year=2002 |pmid=11856691 |doi=10.2214/ajr.178.3.1780649 |url=}}</ref> | |||
==References== | ==References== | ||
Revision as of 17:50, 5 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamed Diab, MD [2]
Overview
Laboratory findings often are nonspecific. Patients may present with leukocytosis. As many as 50% of patients with Boerhaave syndrome have a hematocrit value of 50% due to fluid loss into pleural spaces and tissues.
Laboratory Findings
- Laboratory findings often are nonspecific.
- Patients may present with leukocytosis. As many as 50% of patients with Boerhaave syndrome have a hematocrit value of 50% due to fluid loss into pleural space and tissues.
- Many patients present with a pleural effusion.
- Thoracentesis with examination of the pleural fluid can aid in diagnosis which may contain undigested food, pH less than 6, or have an elevated amylase level.[1] [2]
References
- ↑ Attar S, Hankins JR, Suter CM, Coughlin TR, Sequeira A, McLaughlin JS (1990). "Esophageal perforation: a therapeutic challenge". Ann. Thorac. Surg. 50 (1): 45–9, discussion 50–1. PMID 2369229.
- ↑ Maher MM, Lucey BC, Boland G, Gervais DA, Mueller PR (2002). "The role of interventional radiology in the treatment of mediastinal collections caused by esophageal anastomotic leaks". AJR Am J Roentgenol. 178 (3): 649–53. doi:10.2214/ajr.178.3.1780649. PMID 11856691.