{"id":9163,"date":"2019-04-10T04:53:31","date_gmt":"2019-04-10T02:53:31","guid":{"rendered":"http:\/\/news-papers.eu\/?p=9163"},"modified":"2019-03-24T12:00:23","modified_gmt":"2019-03-24T11:00:23","slug":"klinisches-schnappschuss-boerhaave-syndrom","status":"publish","type":"post","link":"http:\/\/news-papers.eu\/?p=9163","title":{"rendered":"Klinisches Schnappschuss: Boerhaave-Syndrom"},"content":{"rendered":"<p style=\"text-align: justify;\">Es geh\u00f6rt zu den <strong>BIG FIVE<\/strong> bei Thoraxsschmerz: das <strong>Boerhaave-Syndrom<\/strong>. Hierbei handelt es sich um eine meist durch Erbrechen ausgel\u00f6ste \u00d6sophagusruptur. Klinischer Hinweis kann neben Thoraxschmerzen und Dyspnoe ein Hautemphysem (zB bei Mediastialemphysem) sein.\u00a0Justyna Swol und Kollegen berichten von einem klinischen Schnappschuss im Deutschen \u00c4rzteblatt:<\/p>\n<blockquote><p><strong>Swol J, et al. Zervikales Weichteilemphysem bei Boerhaave-Syndrom.\u00a0Dtsch Arztebl Int 2019; 116(12): <span class=\"nobr\">211\u00a0<\/span>(<a href=\"https:\/\/www.aerzteblatt.de\/archiv\/206106\/Zervikales-Weichteilemphysem-bei-Boerhaave-Syndrom\" target=\"_blank\" rel=\"noopener\">PDF<\/a>)<\/strong><\/p><\/blockquote>\n<p>Eine \u00dcbersicht findet sich bei<\/p>\n<blockquote><p><strong>Chakaroun R, et al.\u00a0\u00a0Differentialdiagnose Thoraxschmerz &#8211; One Of The \u201eBig Five\u201c.\u00a0Notfallmedizin up2date 2014, 9: 108-114<\/strong><\/p><\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>Es geh\u00f6rt zu den BIG FIVE bei Thoraxsschmerz: das Boerhaave-Syndrom. Hierbei handelt es sich um eine meist durch Erbrechen ausgel\u00f6ste \u00d6sophagusruptur. Klinischer Hinweis kann neben Thoraxschmerzen und Dyspnoe ein Hautemphysem [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1931,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1613],"tags":[1614],"class_list":["post-9163","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-big-five","tag-boerhaave-syndrom"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/07\/img_4871.jpg?fit=1280%2C868","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-2nN","jetpack-related-posts":[{"id":6602,"url":"http:\/\/news-papers.eu\/?p=6602","url_meta":{"origin":9163,"position":0},"title":"Klinischer Schnappschuss: Yellow-Nail-Syndrom","author":"Michael Bernhard","date":"Februar 20, 2018","format":false,"excerpt":"Ein weitere interessanter Fallbericht aus der Serie \u201eKlinischer Schnappschuss\u201c des Deutschen \u00c4rzteblatts: L\u00fcbbert C, et al.\u00a0Yellow-Nail-Syndrom. Dtsch Arztebl Int 2017; 114(50): 874; DOI: 10.3238\/arztebl.2017.0874b (PDF) News-Papers.eu auf TWITTER\u00a0 \u00a0\u00a0Follow news-papers.eu","rel":"","context":"In &quot;Fallbericht&quot;","block_context":{"text":"Fallbericht","link":"http:\/\/news-papers.eu\/?cat=103"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/12\/Bildschirmfoto-2016-12-12-um-08.43.16.png?fit=690%2C375&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/12\/Bildschirmfoto-2016-12-12-um-08.43.16.png?fit=690%2C375&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/12\/Bildschirmfoto-2016-12-12-um-08.43.16.png?fit=690%2C375&resize=525%2C300 1.5x"},"classes":[]},{"id":4017,"url":"http:\/\/news-papers.eu\/?p=4017","url_meta":{"origin":9163,"position":1},"title":"Anticholinerges Toxidrom","author":"Michael Bernhard","date":"M\u00e4rz 20, 2017","format":false,"excerpt":"Erst k\u00fcrzlich hatten wir hierzu einen Post: \"Anticholinerges Syndrom\". Ganz aktuell gibt es einen Klinischen Schnappschluss aus dem Deutschen \u00c4rzteblatt bei dem Prof. Dodt aus M\u00fcnchen Bogenhausen ein entsprechendes Fallbeispiel pr\u00e4sentiert: Anticholinerges Toxidrom (PDF). Schauen Sie sich den klinischen Schnappschuss doch einmal an, hier wird sehr plastisch das entsprechende Krankheitsbild\u2026","rel":"","context":"In &quot;Intoxikationen&quot;","block_context":{"text":"Intoxikationen","link":"http:\/\/news-papers.eu\/?cat=14"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/12\/Bildschirmfoto-2016-12-03-um-20.24.48-300x59.png?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":1947,"url":"http:\/\/news-papers.eu\/?p=1947","url_meta":{"origin":9163,"position":2},"title":"Pilzvergiftungen &#8211; Teil 2","author":"Michael Bernhard","date":"Juli 24, 2016","format":false,"excerpt":"Nach dem eher allgemeinerem Teil 1 der Pilzvergiftungen nun zu einigen speziellen Syndromen. Romanek K, et al. Pilzvergiftungen: Symptome, Diagnostik und Therapie. Notfall Rettungsmed 2016; 19: 301-314 Unterschieden werden hier: Coprinus-Syndrom (Alkoholunvertr\u00e4glichkeits-syndrom\/Antabus-Syndrom) Muskarin-Syndrom Fliegenpilz-\/Pantherpilz-Syndrom Coprinus-Syndrom (Alkoholunvertr\u00e4glichkeitssyndrom\/Antabus-Syndrom) Ursache: Faltentintling (Coprinus atramentarius), Keulenf\u00fc\u00dfiger Trichterling (Clitocybe clavipes) und Ochsenr\u00f6hrling (Boletus torosus). Latenz: 0-3\u2026","rel":"","context":"In &quot;Intoxikationen&quot;","block_context":{"text":"Intoxikationen","link":"http:\/\/news-papers.eu\/?cat=14"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/07\/Pilze.jpg?fit=640%2C480&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/07\/Pilze.jpg?fit=640%2C480&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/07\/Pilze.jpg?fit=640%2C480&resize=525%2C300 1.5x"},"classes":[]},{"id":4382,"url":"http:\/\/news-papers.eu\/?p=4382","url_meta":{"origin":9163,"position":3},"title":"Schnappschuss: Cholestinembolien","author":"Michael Bernhard","date":"April 9, 2017","format":false,"excerpt":"Hier der Hinweis auf einen weiteren klinischen Schnappschuss aus dem Deutschen \u00c4rzteblatt: Muehlenberg K, Faltermeier N, Pech O. Cholesterinembolie-Syndrom.\u00a0Dtsch Arztebl Int 2017; 114(14): 251; DOI: 10.3238\/arztebl.2017.0251 News-Papers.eu auf TWITTER\u00a0 \u00a0\u00a0Follow news-papers.eu","rel":"","context":"In &quot;Fallbericht&quot;","block_context":{"text":"Fallbericht","link":"http:\/\/news-papers.eu\/?cat=103"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/12\/Bildschirmfoto-2016-12-12-um-08.43.16.png?fit=690%2C375&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/12\/Bildschirmfoto-2016-12-12-um-08.43.16.png?fit=690%2C375&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/12\/Bildschirmfoto-2016-12-12-um-08.43.16.png?fit=690%2C375&resize=525%2C300 1.5x"},"classes":[]},{"id":5479,"url":"http:\/\/news-papers.eu\/?p=5479","url_meta":{"origin":9163,"position":4},"title":"Vergiftungen mit psychotropen Substanzen &#8211; Teil 2","author":"Michael Bernhard","date":"Oktober 11, 2017","format":false,"excerpt":"Jetzt zum Teil 2 bei Vergiftungserscheinungen mit psychotropen Substanzen von Bollmann und Joannidis aus Innsbruck\/\u00d6sterreich: Bellmann R, et al. Vergiftungen mit psychotropen\u00a0Substanzen.\u00a0Med Klin Intensivmed Notfmed 2017,\u00a0DOI 10.1007\/s00063-017-0323-8 Im Vorangegangenen POST ging es um die Toxidrome: Sympathomimetisches Syndrom Anticholinerges Syndrom Cholinerges Syndrom\u00a0 Sedierend-narkotisches Syndrom Halluzinogenes Syndrom Serotonerges Syndrom In dem Artikel\u2026","rel":"","context":"In &quot;Intoxikationen&quot;","block_context":{"text":"Intoxikationen","link":"http:\/\/news-papers.eu\/?cat=14"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/05\/wordle1-1.png?fit=792%2C506&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/05\/wordle1-1.png?fit=792%2C506&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/05\/wordle1-1.png?fit=792%2C506&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/05\/wordle1-1.png?fit=792%2C506&resize=700%2C400 2x"},"classes":[]},{"id":19606,"url":"http:\/\/news-papers.eu\/?p=19606","url_meta":{"origin":9163,"position":5},"title":"SOP &#8222;Anticholinerges Syndrom&#8220; aus Notaufnahme up2date","author":"Michael Bernhard","date":"Mai 16, 2025","format":false,"excerpt":"Patienten mit unklarer Vigilanzminderung, Delir oder Koma: Alltag in der Notaufnahme \u2013 doch was, wenn die Ursache trotz umfassender Diagnostik unklar bleibt? Das zentrale anticholinerge Syndrom (ZAS) ist eine oft \u00fcbersehene, aber potenziell lebensbedrohliche Differenzialdiagnose. Die zielgerichtete Therapie mit dem Antidot Physostigmin kann die Symptome h\u00e4ufig effektiver kontrollieren als Benzodiazepine.\u2026","rel":"","context":"In &quot;Intoxikationen&quot;","block_context":{"text":"Intoxikationen","link":"http:\/\/news-papers.eu\/?cat=14"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2025\/05\/Bildschirmfoto-2025-05-12-um-11.18.44.png?fit=678%2C484&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2025\/05\/Bildschirmfoto-2025-05-12-um-11.18.44.png?fit=678%2C484&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2025\/05\/Bildschirmfoto-2025-05-12-um-11.18.44.png?fit=678%2C484&resize=525%2C300 1.5x"},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/9163","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9163"}],"version-history":[{"count":4,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/9163\/revisions"}],"predecessor-version":[{"id":9167,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/9163\/revisions\/9167"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/media\/1931"}],"wp:attachment":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9163"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=9163"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=9163"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}