If you're silly and picked esophageal rupture like me:

Mallory-Weiss → incomplete tear (mucosa/submucosa) → no perforation → hematemesis

Boerhaave → complete tear → perforation → SubQ emphysema

https://i.pinimg.com/originals/d6/2e/76/d62e7605260ca23141184b23975aaf21.png

• Patient with a 3-day history of profuse nausea/vomiting after significant alcohol consumption who now presents with abdominal pain, hypotension, tachycardia and cool/clammy skin, most consistent with hypovolemic shock
• Cardiogenic shock: Signs of volume overload (jugular venous distention, lower extremity edema, etc.)
• Septic shock: Could be seen if patient had sign of perforation (guarding, rebound) and patient would likely have warm and dry skin (because cardiac output is normal/increased and peripheral arterioles are dilated)

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