<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 48-year-old woman presents with severe chest pain for 2 hours. An episode of severe retching and bloody vomiting preceded the onset of chest pain. She says she had an episode of binge drinking last night. Past medical history includes a gastric ulcer 5 years ago, status post-surgical repair. Her blood pressure is 11068 mm Hg, pulse is 90min, respiratory rate is 18min, and oxygen saturation is 90 on room air. ECG is unremarkable. Her cardiovascular examination is normal. Crepitus is heard over the left lower lobe of the lung. Which of the following is the most likely etiology of this patients symptoms?? A: Linear laceration at the gastroesophageal junction, B: Horizontal partition in the tunica media of the aorta, C: Rupture of the esophagus due to increased intraluminal pressure, D: Helicobacter pylori infection, E: Infarction of the myocardium,  <response>: This is a clinical case question involving a 48-year-old woman with severe chest pain and a history of bloody vomiting. The key details in the stem are: - Severe chest pain for 2 hours- Episode of severe retching and bloody vomiting preceded chest pain - History of binge drinking the night before - Past gastric ulcer repaired surgically 5 years ago- Vital signs: BP 11068, Pulse 90, RR 18, O2 sat 90 on room air- Unremarkable ECG- Normal cardiovascular exam- Crepitus heard over left lower lung lobeThe history of binge drinking followed by bloody vomiting suggests the possibility of esophageal rupture leading to mediastinitis and chest pain. The presence of crepitus over the left lower lung also supports esophageal rupture. Of the answer choices, C best fits the clinical presentation of esophageal rupture due to increased intraluminal pressure from vomiting.C: Rupture of the esophagus due to increased intraluminal pressure 