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
Twenty-four hours after delivery, a 2.4 kg (5.3 lb) newborn develops respiratory distress. She was born at 38 weeks gestation. The vital signs include: pulse 136/min, respiratory rate 60/min, and blood pressure 60/30 mm Hg. Examination shows a scaphoid abdomen. The heart sounds are heard in the right hemithorax, and the lung sounds are absent on the left side. The umbilical artery blood gas analysis on 60% oxygen shows:
pH 7.30
pCO2 48 mm Hg
pO2 52 mmHg
A nasogastric tube is inserted. A chest X-ray is shown. Which of the following is the most likely diagnosis?
assistant
Bochdalek hernia