AssessmentsCongenital diaphragmatic hernia
Congenital diaphragmatic hernia
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A male newborn is delivered at 39 weeks’ gestation in the labor and delivery unit to a 34-year-old, gravida 2, para 1, woman following an uncomplicated pregnancy. Physical examination shows a tachycardic and tachypneic male with pale-blue skin. His abdomen appears caved-in and the left side of his chest seems larger than the right. Diminished breath sounds, displaced heart sounds, and bowel sounds are heard on thoracic auscultation. His Apgar scores at 1 and 5 minutes are 6 and 4, respectively. A chest x-ray is obtained and is shown below. Which of the following is the most likely diagnosis?