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Retired NBME 29 Answers

nbme29/Block 1/Question#33 (reveal difficulty score)
A 47-year-old man comes to the emergency ...
Paraesophageal hernia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: GI

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submitted by โˆ—namesthegame22(13)
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Gastric volvulus occurs when the stomach rotates along either its short or long axis to cause gastric outlet obstruction.

It may be caused by anatomic abnormalities (secondary gastric volvulus), the most common of which is a paraesophageal hernia.

Gastric volvulus classically presents with:

severe abdominal pain + dry heaving + and inability to pass a nasogastric tube (referred to as the Borchardt triad).

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