Tetralogy of Fallot Flashcards
What are the four features of tetralogy of fallot?
Pulmonary stenosis
Overriding aorta
Right ventricular hypertrophy
Ventricular septal defect
Which feature of tetralogy of fallot determines the level of cyanosis?
Pulmonary stenosis
What is a tet spell?
An acute episode of cyanosis
What can trigger a tet spell?
Exertion such as walking, crying or waking
What is the treatment of a tet spell?
Older children can squat
Oxygen
Beta blockers - prophylactic
IV fluids
Morphine
What is the definitive management of tetralogy of fallot?
Total surgical repair
What are the signs and symptoms of tetralogy of fallot?
Cyanosis
Clubbing
Poor feeding
Poor weight gain
Ejection systolic murmur
Tet spells
Recurrent infections
What are the risk factors for tetralogy of fallot?
Diabetic mother
Alcohol during pregnancy
Increased age of mother
Rubella
What feature makes tetralogy of fallot into pentalogy of fallot?
ASD
What feature on ECG will be seen on ECG in patients with tetralogy of fallot?
Right axis deviation
