Boerhaave syndrome laboratory findings: Difference between revisions

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Laboratory findings often are nonspecific.
Laboratory findings often are nonspecific.


Patients may present with leukocytosis and a left shift. As many as 50% of patients with Boerhaave syndrome have a hematocrit value that approaches 50%. This may be due to fluid loss into pleural spaces and tissues. Serum albumin is normal but may be low, while the globulin fraction may be normal or slightly elevated.
Patients may present with leukocytosis. As many as 50% of patients with Boerhaave syndrome have a hematocrit value of 50% due to fluid loss into pleural spaces and tissues.  


Many patients present with a pleural effusion. Thoracentesis with examination of the pleural fluid can aid in diagnosis. Undigested food particles and gastric juices usually are found. If no gross particles are found, cytology can confirm or exclude their presence, but time is of the essence. The pH of the pleural fluid will be less than 6, and the amylase content will be elevated. Squamous cells from saliva may be found.
Many patients present with a pleural effusion. Thoracentesis with examination of the pleural fluid can aid in diagnosis which may contain undigested food, pH less than 6, or have an elevated amylase level.


==References==
==References==

Revision as of 19:16, 28 December 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Laboratory Findings

Laboratory findings often are nonspecific.

Patients may present with leukocytosis. As many as 50% of patients with Boerhaave syndrome have a hematocrit value of 50% due to fluid loss into pleural spaces and tissues.

Many patients present with a pleural effusion. Thoracentesis with examination of the pleural fluid can aid in diagnosis which may contain undigested food, pH less than 6, or have an elevated amylase level.

References

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