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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Post-op X-ray Confirm Diaphragmatic Injury In A Patient With Liver Laceration And Elevated Right Hemidiaphragm?

This patient was found to have suffered liver laceration and possible diaphragmatic tear, is this X-Ray proof positive of injury to the diaphragm during operation, xray was taken before living the operating room. INDICATION: CABG, Mitral Valve Repair, post-op aortacoronary bypass FINDINGS: AP at 1556 hours. Mitral prosthesis Endotracheal tube tip at the carina directed toward the opening of the right main bronchus and withdrawal 1 cm is suggested. Nasogastric tube is kinked in the distal esophagus and is not in the stomach. Right internal jugular central line tip in superior vena cava. Basal pericardial tube. Right chest tube in the apex of the right hemithorax. Low lung volumes, elevated right hemidiaphragm and bronchovascular crowding.
posted on Tue, 1 Aug 2023
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