Tetralogy of Fallot Flashcards
1
Q
4 x Features of Tetralogy of Fallot
A
Large VSD
Overriding aorta over the ventricular septum
Pulmonary stenosis - RV obstruction
Right ventricular hypertrophy
2
Q
CXR of Tetralogy of Fallot
A
Boot shaped heart due to RV hypertrophy
3
Q
How does the tetralogy of Fallot present?
A
- 5 days and with cyanosis
2. Clubbing may develop in older children
4
Q
Hypercyanotic spells features
A
Tetralogy of Fallot
Behavior -
Limp & Lethargic
Inconsolable crying and irritabiity preceding recent D&V
Squating on exercise
Breathing -
Increased effort and O2 sats 58% (severe cyanosis)
Circulation -
Heart rate - 140
No mumur
5
Q
Management of Hypercyanotic spells
A
Medical emergency as severe cyanosis can cause MI, Stroke or death
O2 sats
Blood pressure
Heart rate
6
Q
Murmur of Tetralogy of Fallot
A
- Harsh ejection systolic murmur at the left sternal edge from day 1
