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Point-of-Care Ultrasound Diagnosis of Tetralogy of Fallot Causing Cyanosis: A Case Report

INTRODUCTION: Tetralogy of Fallot (TOF) is a congenital heart defect with characteristic features leading to unique physical exam and ultrasound findings. In settings where there is limited prenatal screening, TOF can present with cyanosis at any time from the neonatal period to adulthood depending...

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Autores principales: Addepalli, Aravind, Guillen, Marco, Dreyfuss, Andrea, Mantuani, Daniel, Nagdev, Arun, Martin, David A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9697878/
https://www.ncbi.nlm.nih.gov/pubmed/36427029
http://dx.doi.org/10.5811/cpcem.2022.8.56297
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author Addepalli, Aravind
Guillen, Marco
Dreyfuss, Andrea
Mantuani, Daniel
Nagdev, Arun
Martin, David A.
author_facet Addepalli, Aravind
Guillen, Marco
Dreyfuss, Andrea
Mantuani, Daniel
Nagdev, Arun
Martin, David A.
author_sort Addepalli, Aravind
collection PubMed
description INTRODUCTION: Tetralogy of Fallot (TOF) is a congenital heart defect with characteristic features leading to unique physical exam and ultrasound findings. In settings where there is limited prenatal screening, TOF can present with cyanosis at any time from the neonatal period to adulthood depending on the degree of obstruction of the right ventricular outflow tract.1 CASE REPORT: This case describes a pediatric patient who presented with undifferentiated dyspnea and cyanosis, for whom point-of-care ultrasound (POCUS) supported the diagnosis of TOF. We highlight the important role POCUS can play in a setting with limited access to formal echocardiography or consultative pediatric cardiology services. CONCLUSION: This report highlights the utility of POCUS as an inflection point in the diagnostic and management pathway of this patient, which is particularly important when working in a limited-resource or rural setting.
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spelling pubmed-96978782022-11-28 Point-of-Care Ultrasound Diagnosis of Tetralogy of Fallot Causing Cyanosis: A Case Report Addepalli, Aravind Guillen, Marco Dreyfuss, Andrea Mantuani, Daniel Nagdev, Arun Martin, David A. Clin Pract Cases Emerg Med Case Report INTRODUCTION: Tetralogy of Fallot (TOF) is a congenital heart defect with characteristic features leading to unique physical exam and ultrasound findings. In settings where there is limited prenatal screening, TOF can present with cyanosis at any time from the neonatal period to adulthood depending on the degree of obstruction of the right ventricular outflow tract.1 CASE REPORT: This case describes a pediatric patient who presented with undifferentiated dyspnea and cyanosis, for whom point-of-care ultrasound (POCUS) supported the diagnosis of TOF. We highlight the important role POCUS can play in a setting with limited access to formal echocardiography or consultative pediatric cardiology services. CONCLUSION: This report highlights the utility of POCUS as an inflection point in the diagnostic and management pathway of this patient, which is particularly important when working in a limited-resource or rural setting. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2022-10-22 /pmc/articles/PMC9697878/ /pubmed/36427029 http://dx.doi.org/10.5811/cpcem.2022.8.56297 Text en © 2022 Addepalli et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Case Report
Addepalli, Aravind
Guillen, Marco
Dreyfuss, Andrea
Mantuani, Daniel
Nagdev, Arun
Martin, David A.
Point-of-Care Ultrasound Diagnosis of Tetralogy of Fallot Causing Cyanosis: A Case Report
title Point-of-Care Ultrasound Diagnosis of Tetralogy of Fallot Causing Cyanosis: A Case Report
title_full Point-of-Care Ultrasound Diagnosis of Tetralogy of Fallot Causing Cyanosis: A Case Report
title_fullStr Point-of-Care Ultrasound Diagnosis of Tetralogy of Fallot Causing Cyanosis: A Case Report
title_full_unstemmed Point-of-Care Ultrasound Diagnosis of Tetralogy of Fallot Causing Cyanosis: A Case Report
title_short Point-of-Care Ultrasound Diagnosis of Tetralogy of Fallot Causing Cyanosis: A Case Report
title_sort point-of-care ultrasound diagnosis of tetralogy of fallot causing cyanosis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9697878/
https://www.ncbi.nlm.nih.gov/pubmed/36427029
http://dx.doi.org/10.5811/cpcem.2022.8.56297
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