Spotting Boerhaave Syndrome in the ED: Hamman’s Crunch Time

-Case- A 54-year-old man presents to the ED with sudden, severe chest pain that began shortly after an episode of forceful vomiting. He’s diaphoretic, tachycardic, and complains of neck discomfort and shortness of breath. He says the pain radiates to his back and worsens with swallowing. On exam, you note subtle crepitus in his neck […]

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