{"id":1669,"date":"2017-08-03T07:28:34","date_gmt":"2017-08-03T11:28:34","guid":{"rendered":"https:\/\/www.roshreview.com\/?p=1669"},"modified":"2024-01-31T18:16:29","modified_gmt":"2024-01-31T18:16:29","slug":"rapid-review-tetralogy-fallot","status":"publish","type":"post","link":"https:\/\/www.roshreview.com\/blog\/rapid-review-tetralogy-fallot\/","title":{"rendered":"Rapid Review: Tetralogy of Fallot"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><em>Reviewed January 2024<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"548\" height=\"1024\" src=\"https:\/\/www.roshreview.com\/blog\/wp-content\/uploads\/sites\/2\/2024\/01\/Image-Tetralogy-of-Fallot-TOF-@8x-548x1024.png\" alt=\"\" class=\"wp-image-13334\" srcset=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/01\/Image-Tetralogy-of-Fallot-TOF-@8x-548x1024.png 548w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/01\/Image-Tetralogy-of-Fallot-TOF-@8x-161x300.png 161w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/01\/Image-Tetralogy-of-Fallot-TOF-@8x-768x1435.png 768w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/01\/Image-Tetralogy-of-Fallot-TOF-@8x-822x1536.png 822w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/01\/Image-Tetralogy-of-Fallot-TOF-@8x-1096x2048.png 1096w\" sizes=\"auto, (max-width: 548px) 100vw, 548px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><strong><u>Tetralogy\u00a0of\u00a0Fallot<\/u><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Most common <strong>cyanotic <\/strong>congenital heart disease in childhood<\/li>\n\n\n\n<li>History of episodes of cyanosis (<strong>tet spells<\/strong>) and <strong>squatting for relief <\/strong>(decrease R\u2794L shunt, increase oxygenation)<\/li>\n\n\n\n<li>Echo: <strong>pulmonic stenosis<\/strong>, <strong>right ventricular hypertrophy<\/strong>, <strong>overriding aorta<\/strong>,<strong> and VSD<\/strong><\/li>\n\n\n\n<li>CXR: <strong>boot-shaped<\/strong> <strong>heart<\/strong><\/li>\n\n\n\n<li>Mnemonic: <strong>PROVe<\/strong>: <strong>p<\/strong>ulmonic stenosis, <strong>r<\/strong>ight ventricular hypertrophy, <strong>o<\/strong>verriding aorta, <strong>V<\/strong>SD<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"text-decoration: underline;\"><strong>Sample question:<\/strong><\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A <strong>1-year-old<\/strong> girl presents to the emergency room after her mother noticed that she became<strong> blue while crying<\/strong>. The patient subsequently <strong>squatted on the ground<\/strong> and the mother noticed a resolution in the cyanosis. On physical exam, the patient is now calm and vital signs are normal. A <strong>loud systolic ejection murmur<\/strong> is noted on physical exam. Chest X-ray demonstrates a <strong>\u201cboot-shaped\u201d heart<\/strong>. Which of the following is most likely the diagnosis?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Reviewed January 2024 Tetralogy\u00a0of\u00a0Fallot Sample question: A 1-year-old girl presents to the emergency room after her mother noticed that she became blue while crying. The patient subsequently squatted on the ground and the mother noticed a resolution in the cyanosis. On physical exam, the patient is now calm and vital signs are normal. A loud <a href=\"https:\/\/www.roshreview.com\/blog\/rapid-review-tetralogy-fallot\/\">read more&#8230;<\/a><\/p>\n","protected":false},"author":15,"featured_media":6906,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[1996,2021,2022,2023,2024,2025,2026,2027,2028,2011,2012,2013,2000],"tags":[2330,3203,3215,3265],"coauthors":[3864],"class_list":["post-1669","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogtype","category-pa-certified","category-certified-emergency-nurse","category-clinical-year","category-didactic-year","category-emergency-medicine","category-emergency-nurse-practitioner","category-family-medicine","category-family-nurse-practitioner","category-pediatric-emergency-medicine","category-pediatric-primary-care","category-pediatrics","category-rapid-review","tag-cardiology","tag-pance","tag-panre","tag-pediatrics"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Rapid Review: Tetralogy of Fallot - RoshReview.com<\/title>\n<meta name=\"description\" content=\"This Rapid Review distills the important facts about tetralogy of Fallot, so you can brush up your knowledge and be a confident medical professional. 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