A 50-year-old patient develops sudden left lower chest and epigastric pain after forceful vomiting. His vital signs are within normal except for mild tachycardia. He is diaphoretic, breath sounds are slightly decreased on the left side and there is upper abdominal tenderness and guarding. There's a left pleural effusion on the chest X-ray. The most appropriate diagnostic test among the following is:
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. Contrast esophagography.
Sudden chest/epigastric pain after forceful vomiting with a left pleural effusion means Boerhaave syndrome (oesophageal perforation). The contrast oesophagram (water-soluble Gastrografin swallow) is the definitive test because it shows where contrast leaks out. Aortography and echocardiography look for aortic or cardiac disease, not oesophageal rupture.
- المصدر
- Dysphagia (1).pdf · p. 7
Esophageal disease.pdf · p. 6 - المحاضرة
- Radiology · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 227 Q56