During a night flight transfer, a 35-year-old male patient who was involved in a high-speed motorcycle accident shows signs of respiratory distress, abdominal pain, and decreased breath sounds on the left side. Which additional finding is most indicative of a diaphragmatic injury?
Bowel sounds in the chest are a hallmark sign of diaphragmatic injury because they indicate that abdominal organs have herniated into the thoracic cavity through the ruptured diaphragm. Decreased breath sounds and abdominal pain are common but can be caused by other thoraco-abdominal injuries.
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