Chest pain after a full meal is a major manifestation of spontaneous esophageal rupture. Most of them occur after drinking alcohol and vomiting. Initial symptoms: vomiting, nausea, epigastric pain, chest pain. 1/3 to 1/2 patients have vomited blood. Patients who vomit can often have a history of alcohol consumption or overeating. The location of the pain is mostly in the upper abdomen, but can also be behind the sternum, in the two quarter ribs, in the lower chest, and sometimes radiates to the back of the shoulder. When the symptoms are severe, there may be shortness of breath, dyspnea, cyanosis and shock. So, what are the examination items for chest pain after satiety? The following are the examination items for chest pain after satiety: 1. Medical history: It is very important to take a detailed medical history. Barrett’s triad: shortness of breath, abdominal pressure, and subcutaneous emphysema of the neck, are of great value for diagnosis. 2.Age: middle-aged people aged 50-60 years predominate, infants and young people are less common, and there are significantly more men than women, about 1:5. 3.Physical examination: most of them show acute abdomen, and may have corresponding signs of liquid pneumothorax, epigastric pressure pain, muscle tension, or even platysma. Esophageal and gastric contents into the thoracic and peritoneal cavity can cause chemical pleurisy and peritonitis, and can have the performance of acute septic mediastinitis and pleurisy and peritonitis. 4, X-ray examination: the most important means of examination, not only to determine the presence or absence of perforation, but also to locate the perforation.