Impact of COVID-19 pandemic on the clinical reasoning of the physicians.

We report the case of a 65-year-old patient who was admitted during the COVID-19 pandemic to the intensive care unit for acute respiratory distress. Following a large meal the day before, she had recurrent episodes of vomiting, which were followed by intense retrosternal pain with progressively worsening dyspnea. The patient was admitted with initial suspicion of acute respiratory failure secondary to SARS-CoV-2 infection. However, after a careful anamnesis, the diagnosis of Boerhaave's syndrome was suggested. The aim of this article is to try to understand, through this clinical case of Boerhaave's syndrome, how this health crisis could influence the clinical reasoning of the physicians.Copyright © SRLF 2021.