system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
Thirty minutes after delivery, a 3400-g (7.5-lb) female newborn develops cyanosis of her lips and oral mucosa. She was born at 36 weeks of gestation to a 30-year-old woman, gravida 1, para 0. Apgar scores are 7 and 8 at 1 and 5 minutes, respectively. Pregnancy was complicated by polyhydramnios. The patient's temperature is 37°C (98.6°F), pulse is 144/min, respirations are 52/min, and blood pressure is 70/40 mm Hg. Examination shows foaming and drooling at the mouth. Bilateral crackles are heard at the lung bases. There is a harsh 3/6 systolic murmur along the left sternal border. The abdomen is soft and mildly distended. There is an anterior ectopic anus. Insertion of a nasogastric tube is attempted. An x-ray of the chest and abdomen is shown. Which of the following is the most likely diagnosis?
assistant
Esophageal atresia with tracheoesophageal fistula to the distal esophageal segment