This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Urology, Subject name: Surgery
Mackler's triad includes all except 
Select and explain. 
A. Vomiting, B. Subcutaneous emphysema, C. Lower thoracic pain, D. Peripheral cyanosis
D: Peripheral cyanosis
Answer: D: Peripheral cyanosis 
Explanation: Mackler's triad is seen in Boerhaave's syndrome. It consists of Vomiting, Chest pain and Subcutaneous emphysema. Reference : page 802 SRB's manual of surgery 5th edition