Mallory Weiss tear Flashcards

1
Q

define a mallory weiss tear?

A

tearing of the lining of the oesophagus around the junction with the stomach as a result of violent vomiting or straining to vomit

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2
Q

cause of mallory weiss tears?

A

• Caused by prolonged violent vomiting

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3
Q

risk factors of mallory weiss tears?

A

o Chronic alcohol abuse
o Bulimia
o Other causes: trauma, intense coughing, gastritis

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4
Q

epidemiology of mallory weiss tears?

A

• Quite rare

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5
Q

presenting symptoms of mallory weiss tears?

A
  • Most cases do not cause any symptoms
  • Abdominal pain
  • Severe vomiting
  • Haematemesis
  • Involuntary retching
  • Black/tarry stools (rare)
  • Symptoms of hypovolaemia if SEVERE blood loss
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6
Q

investigations of mallory weiss tears?

A
  • OGD

* Bloods - FBC to check for anaemia

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7
Q

management plan for majority of mallory wiess tears

A
  • 80-90% of the time the bleeding stops on its own

- nothing needs to be done

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8
Q

management plan for severe mallory weiss tears?

A

• Surgery may be necessary if the bleeding does NOT stop
o Injection sclerotherapy
o Coagulation therapy
o Arteriography

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9
Q

complications of mallory weiss tears?

A

• Boerhaave’s perforation

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10
Q

prognosis of mallory weiss tears?

A

• GOOD prognosis

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