Tetralogy of fallot physical examination: Difference between revisions
New page: {{Tetralogy of fallot}} {{CMG}} '''Associate Editors-In-Chief:''' Keri Shafer, M.D. [mailto:kshafer@bidmc.harvard.edu], Priyamvada Singh, MBBS '''Physical ex... |
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{{Tetralogy of fallot}} | {{Tetralogy of fallot}} | ||
{{CMG}} | {{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh| Priyamvada Singh, M.B.B.S.]] [mailto:psingh@perfuse.org], [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu]; Atif Mohammad, M.D.; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@perfuse.org] | ||
==Overview== | |||
'''Associate Editors-In-Chief:''' [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu], [[ | ==Physical examination== | ||
On physical examination murmurs can be picked. The loudness and length of systolic murmur is inversely proportional to the severity of right ventricular outflow tract obstruction (RVOTO). | On physical examination murmurs can be picked. The loudness and length of systolic murmur is inversely proportional to the severity of right ventricular outflow tract obstruction (RVOTO). | ||
*As RVOTO progresses towards occlusion the right ventricular blood is diverted to left ventricle through ventricular septal defect. This causes the pulmonic murmur to become shorter and softer. P2 is faint and delayed in mild cyanosis and inaudible in severe cyanosis. | *As RVOTO progresses towards occlusion the right ventricular blood is diverted to left ventricle through ventricular septal defect. This causes the pulmonic murmur to become shorter and softer. P2 is faint and delayed in mild cyanosis and inaudible in severe cyanosis. | ||
* Diastolic murmur can be heard due to aortic regurgitation | * Diastolic murmur can be heard due to aortic regurgitation | ||
* Central cyanosis | * Central cyanosis | ||
* Clubbing | * Clubbing | ||
==See also== | ==See also== | ||
* [[Trilogy of Fallot]] | * [[Trilogy of Fallot]] | ||
Revision as of 15:01, 14 August 2011
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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]; Atif Mohammad, M.D.; Assistant Editor-In-Chief: Kristin Feeney, B.S. [4]
Overview
Physical examination
On physical examination murmurs can be picked. The loudness and length of systolic murmur is inversely proportional to the severity of right ventricular outflow tract obstruction (RVOTO).
- As RVOTO progresses towards occlusion the right ventricular blood is diverted to left ventricle through ventricular septal defect. This causes the pulmonic murmur to become shorter and softer. P2 is faint and delayed in mild cyanosis and inaudible in severe cyanosis.
- Diastolic murmur can be heard due to aortic regurgitation
- Central cyanosis
- Clubbing
See also
- Trilogy of Fallot
- Pentalogy of Fallot
References
External links
- Tetralogy of Fallot information from Seattle Children's Hospital Heart Center
- Information by University of Michigan Health System
- Diagram of the condition
- Information for adults with ToF from the Adult Congenital Heart Association
- Michael Warman's Website on ToF
de:Fallot-Tetralogie it:Tetralogia di Fallot nl:Tetralogie van Fallot nn:Fallots tetrade uk:Тетрада Фалло