The patient is admitted with upper GI bleeding following an episode of forceful retching following excessive alcohol intake. The nurse suspects a Mallory-Weiss tear and is aware that:
a. a Mallory-Weiss tear is a longitudinal tear in the gastroesophageal mucosa.
b. this type of bleeding is treated by giving chewable aspirin.
c. the bleeding, although impressive, is self-limiting with little actual blood loss.
d. is not usually associated with alcohol intake or retching.
A
A Mallory-Weiss tear is an arterial hemorrhage from an acute longitudinal tear in the gastroesophageal mucosa and accounts for 10% to 15% of upper GI bleeding episodes. It is associated with long-term nonsteroidal antiinflammatory drug or aspirin ingestion and with excessive alcohol intake. The upper GI bleeding usually occurs after episodes of forceful retching. Bleeding usually resolves spontaneously; however, lacerations of the esophagogastric junction may cause massive GI bleeding, requiring surgical repair.
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