Difference between revisions of "Tetralogy of fallot"

(Treatment)
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==Background==
+
== Background ==
 +
*Most common cyanotic CHD manifesting in postinfancy period
 +
*Tetralogy:
 +
**VSD
 +
**RV outflow obstruction (pulmonic stenosis)
 +
**Overriding aorta
 +
**RV hypertrophy
 +
== Diagnosis ==
 +
*Cyanosis
 +
*Systolic thrill/ejection murmur, loud S2
 +
== Work-Up ==
  
 +
== DDx ==
  
==Diagnosis==
+
== Treatment ==
  
 
==Work-Up==
 
 
 
==DDx==
 
 
 
==Treatment==
 
 
#Place in knee-chest position
 
#Place in knee-chest position
 
##Increases SVR > more blood into pulm ciruclation
 
##Increases SVR > more blood into pulm ciruclation
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##Similar to knee-chest position
 
##Similar to knee-chest position
  
==Disposition==
+
== Disposition ==
 +
 
 +
== See Also ==
  
==See Also==
+
== Source ==
  
==Source==
 
 
UpToDate
 
UpToDate
  
[[Category:Cards]]
+
<br/>[[Category:Cards]] <br/> <br/>

Revision as of 17:49, 22 June 2011

Background

  • Most common cyanotic CHD manifesting in postinfancy period
  • Tetralogy:
    • VSD
    • RV outflow obstruction (pulmonic stenosis)
    • Overriding aorta
    • RV hypertrophy

Diagnosis

  • Cyanosis
  • Systolic thrill/ejection murmur, loud S2

Work-Up

DDx

Treatment

  1. Place in knee-chest position
    1. Increases SVR > more blood into pulm ciruclation
  2. Morphine IV
    1. Mechanism of action unclear
  3. Fluids IV
    1. Improves RV filling
  4. Beta blockers IV
    1. Relaxtion of RVOT
  5. Phenylephrine
    1. Similar to knee-chest position

Disposition

See Also

Source

UpToDate