JOURNAL
Current Issue
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August 2022 -
Volume 20, Issue 8


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From the Editor

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Assessing health literacy among hypertensive patients attending primary healthcare clinics at King Abdulaziz Medical City, Riyadh, Saudi Arabia
Jammaz Asman Al-Arifi, Malek Abdulrahman Balous, Ahoud Hamoud Al-Mutairi, Bader Al-Tulihi
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525113

Awareness and Compliance Behavior of Diabetic Patients for Eye care to Prevent Diabetic Retinopathy: The Status of Jazan Region, Saudi Arabia
Ismail Abuallut
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525114

Community-level awareness of proper immediate steps regarding ocular chemical injury in Asir Region
Saeed Abu Sabah, Abdullah Jallwi Korkoman, Abdulaziz Saad Alshahrani, Ahmed Mohammed Abu Sabah, Faisal Saud Alhudaithi, Anas Mohammed Abusabah, Mofareh Ahmed M Asiri, Hassan Adel H Alasiri, Bandar Mohammed Moshabbab Asiri, Hamad Mohammed Abusebah
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525115

Relationship Between Early Onset Type 2 Diabetes Mellitus And Late-Night Dinner Along With Skipping Breakfast In AL Madinah, Saudi Arabia: Case Control Study
Amal Adnan Arruhaily, Nadiyah karim Alenenzi, Farah Asad Mansori
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525117

Regional Covid

Acceptance of a COVID-19 vaccine and its related determinants among the general adult population in Jeddah, Saudi Arabia
Fathi El-Gamal, Amira Mohammed, Assmaa Shaker, Noor Aljohani, Yara Alasli
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525120

Neurological Manifestations of COVID-19
Alaa Salah AG Alsharei, Safaa Elbashir
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525121

Population and Community Studies

Perspective of Adolescents Regarding Need of Adolescent Health Services; A Mixed Method Study in Rawalpindi, Pakistan
M Zubair Rafique, Hassan Mumtaz, Hassan ul Hussain, Sadaf Rashid, Namrah Hussain, Humaira Mahmood, Amara Arshad
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525118

Review

Prevalence of Depression in adults with type 2 Diabetes Mellitus in the Middle East countries and the factors associated with it: A systematic review
Sabit Sunwar
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525123

Case Study

Diagnosing Boerhaave Syndrome in a 16-year-old girl in a primary care centre
Javed Khan, Abdul Muhid, Farah Mushtaq
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525125

Original Clinical Research

Predictors of COVID-19 Disease Course and Pulmonary Insult
Diana S. Al-jammal, Shefa S Almashaqbeh, Samer F. Alqudah, Walid Ahmed Al-nozami, Raad Y Altahat
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525126

An outbreak investigation of extensively drug-resistant Acinetobacter baumannii cases in the intensive care unit of Al-Qatif Central Hospital, Saudi Arabia
Faris Maeed Alqahtani, Shady A. Kamel, Sami Almudarra, Alaa A. Mathkour
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525127

Vaccination against Influenza among Health Care Workers in Al Mashaer during Hajj 2019 (1440 H); Uptake and Barriers
Faris Maeed Alqahtani, Shady A. Kamel, Sami Almudarra, Alaa A. Mathkour
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525128

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
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August 2022 - Volume 20, Issue 8

Diagnosing Boerhaave Syndrome in a 16-year-old girl in a primary care centre

Corresponding author:
Dr Javed Khan,
Primary Health Corporation, Qatar
Email: jav10001@hotmail.com

Received: June 2022 Accepted: July 2022; Published: August1, 2022. Citation: Javed Khan, Abdul Muhid, Farah Mushtaq. Diagnosing Boerhaave Syndrome in a 16-year-old girl in a primary care centre. World Family Medicine. 2022; 20(8): 93-97 DOI: 10.5742/MEWFM.2022.9525125

Abstract

Boerhaave syndrome is the spontaneous rupture of the oesophagus due to raised intra-oesophageal pressure and is a potentially fatal condition. The patient often presents with retrosternal chest pain and upper abdominal pain associated with significant history of retching and vomiting. The condition has a mortality rate of up to 40% hence early diagnosis and timely intervention is crucial. This emergency is rarely seen in children and young adolescents. We report a case of Boerhaave syndrome in a 16-year-old girl who presented to a primary care setting with vomiting, abdominal pain, and subcutaneous emphysema. The diagnosis of oesophageal rupture was made clinically. Thus, immediate referral to secondary care was vital in providing urgent management. This discussion highlights that this emergency can present in younger age adolescents, therefore high index of suspicion is imperative for good prognosis.

Key words: Boerhaave syndrome, oesophageal perforation







 


 

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