A 25-year-old man presents with a 3-hour history of retrosternal chest pain. He reports that he has been vomiting since the previous evening and his last vomitus had fresh blood in it. He denies any trauma to the chest. On examination his BP is 90/60 mm Hg and PR 110/min.
What is the most likely cause of this patient's chest pain?
A) Tietze's syndrome
B) Myocardial infarction
C) Panic disorder
D) Mallory-Weiss Syndrome
E) Tuberculous pleuritis
