Boerhaave syndrome laboratory findings: Difference between revisions
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Many patients present with a pleural effusion. Thoracentesis with examination of the pleural fluid can aid in diagnosis. Undigested food particles and gastric juices usually are found. If no gross particles are found, cytology can confirm or exclude their presence, but time is of the essence. The pH of the pleural fluid will be less than 6, and the amylase content will be elevated. Squamous cells from saliva may be found. | Many patients present with a pleural effusion. Thoracentesis with examination of the pleural fluid can aid in diagnosis. Undigested food particles and gastric juices usually are found. If no gross particles are found, cytology can confirm or exclude their presence, but time is of the essence. The pH of the pleural fluid will be less than 6, and the amylase content will be elevated. Squamous cells from saliva may be found. | ||
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Revision as of 15:34, 29 June 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Laboratory Findings
Laboratory findings often are nonspecific.
Patients may present with leukocytosis and a left shift. As many as 50% of patients with Boerhaave syndrome have a hematocrit value that approaches 50%. This may be due to fluid loss into pleural spaces and tissues. Serum albumin is normal but may be low, while the globulin fraction may be normal or slightly elevated.
Many patients present with a pleural effusion. Thoracentesis with examination of the pleural fluid can aid in diagnosis. Undigested food particles and gastric juices usually are found. If no gross particles are found, cytology can confirm or exclude their presence, but time is of the essence. The pH of the pleural fluid will be less than 6, and the amylase content will be elevated. Squamous cells from saliva may be found.