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Related Concept Videos

Handwashing II: Pre-procedure and Initial Procedure Steps01:19

Handwashing II: Pre-procedure and Initial Procedure Steps

The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury.  The nails must be short and clean, without nail paint...
Physical Properties of Alcohols and Phenols02:32

Physical Properties of Alcohols and Phenols

Alcohols are organic compounds in which a hydroxy group is attached to a saturated carbon. Phenols are a class of alcohols containing a hydroxy group attached to an aromatic ring. The physical properties of the alcohols and phenols are influenced by hydrogen bonding due to the oxygen–hydrogen dipole in the hydroxy functional group and dispersion forces between alkyl or aryl regions of alcohol and phenol molecules.
Alcohols possess a higher boiling point than aliphatic hydrocarbons of similar...
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Structure and Nomenclature of Alcohols and Phenols02:23

Structure and Nomenclature of Alcohols and Phenols

Overview
Alcohols are one of the most important functional groups in organic chemistry. The name of alcohol comes from the hydrocarbon from which it is derived. Alcohols are organic molecules containing the functional hydroxyl or –OH group directly bonded to carbon. Phenols have an OH group directly attached to a benzene ring. While alcohols are colorless, phenol is a white crystalline compound with a characteristic "hospital smell" odor.
As with other organic compounds, alcohols and phenols...
Acidity and Basicity of Alcohols and Phenols02:36

Acidity and Basicity of Alcohols and Phenols

Like water, alcohols are weak acids and bases. This is attributed to the polarization of the O–H bond making the hydrogen partially positive. Moreover, the electron pairs on the oxygen atom of alcohol make it both basic and nucleophilic. Protonation of an alcohol converts hydroxide, a poor leaving group, into water—a good one. The two acid–base equilibria corresponding to ethanol are depicted below.
Blood Studies I: ABG and VBG01:26

Blood Studies I: ABG and VBG

Blood studies are critical in the medical field, enabling healthcare professionals to assess a patient's health status accurately. This page will focus on two significant blood studies: Arterial Blood Gas (ABG) and Venous Blood Gas (VBG).
Arterial Blood Gas (ABG)
Arterial Blood Gas (ABG) studies are crucial for assessing the lungs' ability to supply oxygen and remove carbon dioxide, reflecting the patient's ventilation status. They also help understand the kidneys' capacity to reabsorb or...

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Related Experiment Video

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Walk with Me Hybrid Virtual/In-Person Walking for Older Adults with Neurodegenerative Disease
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Walked in with Boerhaave's....

Anna M Lewis1, Rahulan Dharmarajah

  • 1NHS, The Lawn Compton Bishop Axbridge, Bristol BS262EU, UK.

Emergency Medicine Journal : EMJ
|March 27, 2007
PubMed
Summary

Boerhaave's syndrome, a lethal esophageal rupture, can present atypically, even in young individuals. This case highlights the importance of considering this severe condition despite unusual patient demographics or symptoms.

Area of Science:

  • Gastroenterology and Surgery
  • Esophageal Pathophysiology

Background:

  • Boerhaave's syndrome is a critical, transmural rupture of the esophagus, distinct from the more common Mallory-Weiss tear.
  • It is the most lethal gastrointestinal perforation, with a significant mortality rate (10-50%).
  • Typical demographics include males aged 50-70, often following excessive food and alcohol intake.

Observation:

  • A 26-year-old male presented to the emergency department with chest pain.
  • Initial physical examination revealed no significant abnormalities.
  • The patient was diagnosed with Boerhaave's syndrome.

Findings:

  • This case demonstrates an atypical presentation of Boerhaave's syndrome in a young patient.
  • The diagnosis was made despite the absence of typical predisposing factors and demographic profiles.

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  • The condition was confirmed in a patient presenting with chest pain and normal initial findings.

    • Implications:

    • Highlights the varied clinical presentations of Boerhaave's syndrome, emphasizing the need for high clinical suspicion.
    • Underscores that atypical presentations can occur, challenging traditional diagnostic patterns.
    • Reinforces the critical importance of prompt diagnosis and management for this potentially fatal condition, regardless of patient age or typical risk factors.