CASE 103

History: A 61-year-old woman developed chest pain after an episode of vomiting.

1. Which of the following should be included in the differential diagnosis of the imaging finding shown in Figure A? (Choose all that apply.)

A. Esophageal tear

B. Esophageal duplication

C. Esophageal perforation

D. Esophageal diverticulum

E. Esophageal pseudodiverticulosis

2. This patient has developed a distal esophageal mucosal tear and intramural dissection after forceful retching. What is this syndrome?

A. Paterson-Kelly

B. Mallory-Weiss

C. Boerhaave’s

D. Barrett’s

3. Which of the following statements regarding Mallory-Weiss tears is true?

A. They are usually multiple.

B. They are caused by vomiting or retching.

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