Diferencia entre revisiones de «Tetralogy of Fallot»
Sin resumen de edición |
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| Línea 1: | Línea 1: | ||
==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 == | |||
== | == 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 | ||
| Línea 23: | Línea 26: | ||
##Similar to knee-chest position | ##Similar to knee-chest position | ||
==Disposition== | == Disposition == | ||
== See Also == | |||
== | == Source == | ||
UpToDate | UpToDate | ||
[[Category:Cards]] | <br/>[[Category:Cards]] <br/> <br/> | ||
Revisión del 17:49 22 jun 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
- Place in knee-chest position
- Increases SVR > more blood into pulm ciruclation
- Morphine IV
- Mechanism of action unclear
- Fluids IV
- Improves RV filling
- Beta blockers IV
- Relaxtion of RVOT
- Phenylephrine
- Similar to knee-chest position
Disposition
See Also
Source
UpToDate