A 36 yr old male with acute-onset chest pain, severe breathlessness, and vomiting This patient presented with loose stools for 2 days, then vomiting for 1 day, followed by severe left-sided chest pain. His 02 saturation at admission was 82%, respiratory rate was 40/ minute, HR 130/ m (sinus tachycardia), BP 100/60. X-rays are shown here. Can you see what's causing this man's acute chest pain, shortness of breath, loose stools, and vomiting? A. Dissecting aorta B. Pneumonia C. Boerhaave syndrome D. Diaphragmatic rupture
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