Authors: Yvette Ruddock / Editor: Steve Corry-Bass / Reviewer: Michael Perry / Codes: CP1, GP9, SLO3, SuP7 / Published: 15/11/2018
A previously fit and well 59-year-old man presented complaining of severe chest pain. He had consumed some alcohol which was unusual for him. On coming home, he had had multiple vomits. The last was particularly forceful. It was after this he experienced lower central chest pain described as severe which morphine had not settled.
On examination he looked unwell with pallor and was clammy. He had a mild tachypnoea; other observations were in the normal range. On palpation of his anterior chest wall crepitus was felt. His ECG appeared normal.
3 responses
Very interesting and concise learning. Mackler triad – not to be missed. Thank you.
Very informative. I have only seen one case of Boerhaaves but did not recognise it at the time.
Interesting, have only seen this twice and once was post-OGD.