Mallory weiss vs. Esophageal varices bleeding

9/11/2017 9:36:32 AM
Hey guys. Is Malory Weiss painful or painless?? I had a question in NBME 1 that really mixed things up in my head. Any help? Thank you in advance

9/11/2017 8:18:36 PM
Mallory weiss tear is upper GIT mucosal tear( submucosal AV plexus bleeding) caused by the forceful retching . It presents as vomiting,hematemesis,epigastric pain .so it means these are painful ,on the other hand Esophageal varices are the painless bleeding of dilated submucosal veins in lower 1/3 of esophagus due to portal hypertension.

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