Tetralogy of Fallot

What this deck covers

Tetralogy of Fallot in twelve clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.

The 12 cases, in order

1. Blue when he cries
2. Two children, one diagnosis
3. Where the noise comes from
4. A murmur that goes quiet
5. The child who squats
6. Breaking a spell
7. The boot-shaped heart
8. The tracing before surgery
9. Fingertips that tell the story
10. A seizure on day three
11. Years after the repair
12. When the duct closes

Diagnoses and management options tested

Across the twelve cases you are asked to choose between options such as: Large ventricular septal defect, Tetralogy of Fallot, Total anomalous pulmonary venous return, Transposition of the great arteries, Place him in the knee-to-chest position, Cardiomegaly with increased pulmonary vascularity, Egg-on-side appearance with a narrow mediastinum, Snowman or figure-of-eight appearance, Left axis deviation with left ventricular hypertrophy, Superior axis with left ventricular hypertrophy, A normal ECG for age, Chronic hypoxaemia, Iron deficiency, Infective endocarditis, Pulmonary hypertension, Trisomy 21, 22q11.2 deletion syndrome, Williams syndrome, Noonan syndrome, Residual ventricular septal defect, Aortic stenosis, Mitral regurgitation, Pulmonary regurgitation, Intravenous furosemide, Beta-blocker infusion, Intravenous prostaglandin E1.

Clinical pearls from this deck

• Episodic cyanosis relieved by knees-to-chest, with a single second sound, is tetralogy of Fallot until proven otherwise.
• One anatomy, a whole spectrum of children. The outflow tract, weighed against systemic resistance, decides how blue they are.

The twelve worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.

More from this system: all cardiology decks and question sets · pediatric reference values.