Question

A 27-year-old man presents with sudden onset chest pain and dyspnea after forceful vomiting. Chest radiograph shows mediastinal air. He is febrile and tachycardic. What is the most likely diagnosis?

Accepted Answer

Esophageal perforation (Boerhaave syndrome)

Answer

Spontaneous pneumothorax

Answer

Pulmonary embolism

Answer

Acute pericarditis

Answer

Myocardial infarction

Practice question

A 27-year-old man presents with sudden onset chest pain and dyspnea after forceful vomiting. Chest radiograph shows mediastinal air. He is febrile and tachycardic. What is the most likely diagnosis?