II. Pathophysiology

  1. Severe Retching results in tear in esophageal mucosa
  2. Lesion occurs near esophagogastric junction

III. Symptoms

  1. Hematemesis follows episode of Retching or Vomiting

IV. Signs

V. Differential Diagnosis

VI. Diagnosis

  1. Endoscopy (EGD)
    1. Mucosal tear directly visualized

VII. Management

  1. Generally heals spontaneously within several days
  2. Endoscopy for cauterization if needed
  3. Surgery rarely required

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