What are the key clinical features that suggest a Mallory-Weiss tear in a patient with upper GI bleeding?

A key clinical feature that may suggest a Mallory-Weiss tear in a patient presenting with upper gastrointestinal bleeding is its association with specific medical procedures (Cappell et al., 2014). For example, upper gastrointestinal bleeding from a Mallory-Weiss tear has been characterized in the syndrome associated with transesophageal echocardiography (Cappell et al., 2014). The overall management of acute upper gastrointestinal bleeding in over 16s should follow national guidelines ¹.