Tetralogy of Fallot’s present with one of the following –
Correct Answer: Cenral cyanosis with clubbing
Description: Clinical features of TOF :
Dyspnea on exertion and exercise intolerance → Most common.
Cyanosis usually presents after the neonatal period
Hypoxemic or cyanotic spells (Tet spells)
Commonest congenital lesion with which squatting is used
Clubbing
Auscultatory findings :
S1 → Normal
S2 → Single predominantly Aortic
Murmur → Ejection systolic
TOF patients are RARELY CYANOTIC AT BIRTH
Chest x-ray
Normal heart size
Oligaemic lung fields
Right aortic arch present in 25% case
BOG → Right axis deviation, Inverted Twave, `P' pulmonale
About option ‘b’
Pulmonary stenosis causes pressure overload → Concentric right ventricular hypertrophy without cardiac enlargement.
Category:
Pediatrics
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