What are the three symptoms prominently associated with Boerhaave's syndrome?

Boerhaave's syndrome is a spontaneous rupture of the esophagus, often due to severe vomiting or other forms of pressure, and it presents with a specific set of symptoms primarily related to the chest and respiratory system due to the resultant mediastinitis and possible pleural effusion.

Respiratory distress is significant because, following the esophageal rupture, air can escape into the mediastinum or pleural space, leading to complications like pneumothorax or pleuritis, which manifest as difficulty in breathing. Chest pain is a direct result of the esophageal rupture and subsequent irritation or inflammation of the surrounding structures. Fever often accompanies this condition due to the body's inflammatory response to infection following the rupture and the potential development of mediastinitis.

The presence of these three symptoms—respiratory distress, chest pain, and fever—aligns with the clinical picture seen in Boerhaave's syndrome and highlights the seriousness of the condition, requiring prompt recognition and treatment. In contrast, other options present symptoms that are more general or associated with different gastrointestinal or systemic conditions rather than the specific acute presentation seen in Boerhaave's syndrome.