Signs of Tetralogy of Fallot
OVERVIEW
- cyanotic congenital heart disease
PATHOLOGY
(1) VSD
(2) right ventricular outflow tract obstruction
(3) an over-riding aorta (overrides the VSD and is responsible for the cyanosis)
(4) right ventricular hypertrophy secondary to outflow tract obstruction
SIGNS
- Central cyanosis (mixing at the ventricular level)
- Clubbing
- Polycythaemia
- ESM or PSM
- Right ventricular heave (right ventricular enlargement)
- Systolic thrill (pulmonary valve or right ventricular outflow tract obstruction)
- A loud single heard sound
Critical Care
Compendium
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC