Tetralogy of fallot history and symptoms: Difference between revisions

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==Overview==
==Overview==
Tetralogy of Fallot causes [[cyanosis]], [[dyspnea]], [[failure to thrive]] and potentially fatal [[tet spells]].
Patients with tetralogy of Fallot may have a positive history of [[alcoholism]], [[diabetes]], Poor [[nutrition]] in mother in mother. Common symptoms of tetralogy of Fallot include sudden, marked bluish skin ([[tet spell]]), [[dyspnea on exertion]], difficulty in [[feeding]], failure to gain [[weight]], [[failure to thrive]], [[Growth retardation|retarded growth]] and physical development, and [[hemoptysis]].
 
==History and Symptoms==
==History and Symptoms==


=== History ===
=== History ===
Patients with tetralogy of Fallot may have a positive history of:
Patients with tetralogy of Fallot may have a positive history of:
*[[Alcoholism]] in the mother
*[[Diabetes]] in mother
*[[Pregnancy]] after the age of 40 in mother
*Poor [[nutrition]] during [[pregnancy]] in mother


*  
*  
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Common symptoms of tetralogy of Fallot include:
Common symptoms of tetralogy of Fallot include:


* [[Tet spells]] characterized by a sudden, marked increase in [[cyanosis]], [[syncope]], which may result in [[hypoxic brain injury]] and [[death]].
* Sudden, marked bluish skin ([[tet spell]]), which may happens as a result of:
**[[Acidosis]]
**[[Stress]]
**[[Infection]]
**Posture (upright, not squatting)
**[[Exercise]]
**[[Beta-adrenergic agonists]]
**[[Dehydration]]
**Closure of the [[patent ductus arteriosus]]
* [[Dyspnea on exertion]]
* Difficulty in feeding
* Difficulty in feeding
*Failure to gain weight
*Failure to gain weight
*[[Failure to thrive]]
*[[Failure to thrive]]
*Retarded growth and physical development
*Retarded growth and physical development
*[[Dyspnea on exertion]]
*[[Hemoptysis]]
*[[Hemoptysis]]


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Less common symptoms of tetralogy of Fallot include
Less common symptoms of tetralogy of Fallot include


* Right ventricular outflow obstruction determines the clinical presentation.
* Prolong crying
*The primary symptom is low blood oxygen saturation with or without [[cyanosis]] from [[birth]] or developing in the first year of life.  In the absence of [[cyanosis]], the baby is referred to as a pink tet.
*Loss of consciousness
* [[Cyanosis]] becomes progressively worse with time as the patient outgrows the ability of pulmonary blood flow to keep up with increasing oxygen demands.
*Irritability
*The following factors exacerbate [[cyanosis]] and should be avoided if at all possible:
 
:*[[Acidosis]]
:*[[Stress]]
:*[[Infection]]
:*Posture (upright, not squatting)
:*[[Exercise]]
:*[[Beta-adrenergic agonists]]
:*[[Dehydration]]
:*Closure of the [[patent ductus arteriosus]]
*
*



Revision as of 19:57, 26 February 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, M.B.B.S. [2], Keri Shafer, M.D. [3]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [4]

Overview

Patients with tetralogy of Fallot may have a positive history of alcoholism, diabetes, Poor nutrition in mother in mother. Common symptoms of tetralogy of Fallot include sudden, marked bluish skin (tet spell), dyspnea on exertion, difficulty in feeding, failure to gain weight, failure to thrive, retarded growth and physical development, and hemoptysis.

History and Symptoms

History

Patients with tetralogy of Fallot may have a positive history of:

Common Symptoms

Common symptoms of tetralogy of Fallot include:

Less Common Symptoms

Less common symptoms of tetralogy of Fallot include

  • Prolong crying
  • Loss of consciousness
  • Irritability

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