The patient was intubated with a 3.5# endotracheal tube.
WHAT INVESTIGATION WOULD YOU LIKE AT THIS POINT?
endotracheal tube is10 mm below the thoracic inlet.
There are radiolucent images of loops of bowel in the left hemithorax suggestive of a diaphragmatic hernia.
There is a mediastinal shift to the right.
next capillary blood gas was: pO2 30 mmHg PCO2 44 mmHg pH 7.32
You have a triad of dyspnea, cyanosis and apparent dextrocardia
WHAT IS YOUR DIFFERENTIAL DIAGNOSIS?