You are called to review an 86-year-old female, with severe pleuritic chest pain and difficulty breathing following dilation of an oesophageal stricture. Her CT thorax scan confirms an oesophageal perforation.
Outline your management of this problem, including the options for definitive treatment.
Not available.
This question is virtually identical to Question 16 from the second paper of 2016.
Immediate management
Investigations:
Specific Management
Supportive management:
Idiosyncratic ICU issues
Social issues
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Curci, JOSEPH J., and MARC J. Horman. "Boerhaave's syndrome: The importance of early diagnosis and treatment." Annals of surgery 183.4 (1976): 401.
Teh, Elaine, et al. "Boerhaave's syndrome: a review of management and outcome." Interactive cardiovascular and thoracic surgery 6.5 (2007): 640-643.
Eroǧlu, Atilla, et al. "Esophageal perforation: the importance of early diagnosis and primary repair." Diseases of the Esophagus 17.1 (2004): 91-94.
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