Boerhaave syndrome differential diagnosis

Boerhaave syndrome Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Boerhaave syndrome from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
Chest X Ray
CT
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Boerhaave syndrome differential diagnosis On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Boerhaave syndrome differential diagnosis All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Boerhaave syndrome differential diagnosis
CDC on Boerhaave syndrome differential diagnosis
Boerhaave syndrome differential diagnosis in the news
Blogs on Boerhaave syndrome differential diagnosis
Directions to Hospitals Treating Boerhaave syndrome
Risk calculators and risk factors for Boerhaave syndrome differential diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Differential Diagnosis

 Acute onset of chest or abdominal pain may also be seen with disorders such as myocardial infarction, pancreatitis, peptic ulcer perforation, aortic aneurysm dissection, spontaneous pneumothorax, or pneumonia.

Diseases	History and Symptoms								Physical Examination				Laboratory Findings			Upper endoscopy
	Hematemesis	Epigastric pain	Light-headedness	Retching	Heartburn	History of medication	Vomiting	History of alcoholism	Tachycardia	Skin Pallor	Hypotension	Weak pulse	Hemoglobin	Platelets	BUN
Mallory-Weiss syndrome	+	+	+ (with heavy bleeding)	+	-	-	+	+	+ (with heavy bleeding)	+ (with heavy bleeding)	+ (with heavy bleeding)	+ (with heavy bleeding)	↓	↓	↑	Tears are usually single and located in the esophagogastric junction, usually extends into the cardia and sometimes into the esophagus
Myocardial infarction	-	+	-	-	-	-	-	-	-	-	-	-				Ulcerations are multiple and usually involve the proximal esophagus
pancreatitis	-	+	-	-	-	+	-	-	-	-	-	-				Ulcerations are usually singular and deep
Peptic Ulcer Disease	-	+	-	-	+	-	-	-	-	-	-	-				Ulcerations are usually in distal esophagus, and maybe irregular and multiple