Mallory-Weiss Laceration

Question 1

What can cause a Mallory-Weiss tear?

Answer 1

• Coughing
• Retching
• Vomiting
• Straining
• Hiccups
• CPR
• Blunt trauma
• EtOH
• Instrumentation
• Hiatus hernia

Question 2

What are patients with a Mallory-Weiss tear likely to present with. What is a likely finding on examination?

Answer 2

• Haematemesis
• Dizziness
• Orthostatic hypotension

Question 3

How should a person with a suspected Mallory-Weiss tear be worked-up?

Answer 3

• FBE
• CXR
• Flexible endoscopy

Question 4

What are the management principles for a Mallory-Weiss tear?

Answer 4

• Evaluation and monitoring
  
  • ABCDE, fluid resuscitation
• Endoscopic evaluation with/without intervention
  
  • Pre-surgical PPI infusion
  • Adrenaline injection or clipping
  • Sengstaken tube if not responsive to this