mallory weiss tear Flashcards

1
Q

deine mallory weiss tear

A

Linear mucosal tear occuring at the oesophagogastric junction and produced by a sudden increase in intra-abdominal pressure

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2
Q

what is the pathophysiology behind mallory Weiss tears

A

1 vomiting , coughing , retching etc
2 causes ↑ intra-abdominal pressure
3 Forces Stomach contents into oesophagus
4 Dilating it and causing a tear

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3
Q

epidemiology for mallory Weisss tear

A

-Males
-20-50
-Excessive alcohol
-Chronic Cough
- Bulimia
-Hyperemesis gravidarum
—–condition during pregnancy

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4
Q

symptoms for mallory weiss tear

A
  • Haematemesis (after retching/
    vomiting)
  • syncope
  • loss of consciousness
  • Dizziness
  • Hypotension
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5
Q

how are mallory Weiss tears diagnosed?

A
  • OGD endoscopy
    ↳ to confirm
    Rockall score
    ↳ for severity of upper GI
    bleed
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6
Q

how are mallory Weiss tear treated?

A
  • mostly spontaneously heal within 24 hrs
  • surgery- to repair tear
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