system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
85A middle aged man complains A upper abdominal pain after a heavy meal There is tenderness in the upper abdomen and on X ray widening of the mediastinum is seen with pneumo mediastinum what is the diagnosis?
assistant
The correct answer is  Spontaneous peroforation of esophagus Boerhaave&;s syndrome patient can present with retching subcutaneous emphysema can pain On X rays pneuma mediastinum can be seen ref : bailey and love 27th ed.