Delayed Presentation of Tetralogy of Fallot with Isolated Cyanosis

A pediatric patient with hypoxia or cyanosis can frighten even the most seasoned emergency providers. Patients with these symptoms require immediate evaluation and intervention to stabilize their condition. While the differential can be broad, specific attention must be paid to cardiopulmonary etiol...

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Main Authors: Zachary Zemore, Avni Sharma, Kerri Carter, Aline Baghdassarian
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2018/7412869
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author Zachary Zemore
Avni Sharma
Kerri Carter
Aline Baghdassarian
author_facet Zachary Zemore
Avni Sharma
Kerri Carter
Aline Baghdassarian
author_sort Zachary Zemore
collection DOAJ
description A pediatric patient with hypoxia or cyanosis can frighten even the most seasoned emergency providers. Patients with these symptoms require immediate evaluation and intervention to stabilize their condition. While the differential can be broad, specific attention must be paid to cardiopulmonary etiologies. Tetralogy of Fallot is the most common cyanotic congenital heart abnormality, and routine screening surprisingly misses a significant amount of these cases. This case serves as an example of a missed diagnosis by screening efforts and reaffirms the resuscitation algorithm of a hypoxic pediatric patient that all emergency providers should be familiar with.
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institution Kabale University
issn 2090-6803
2090-6811
language English
publishDate 2018-01-01
publisher Wiley
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series Case Reports in Pediatrics
spelling doaj-art-4d93da254a9241879ad9e92985ef46d42025-02-03T01:09:07ZengWileyCase Reports in Pediatrics2090-68032090-68112018-01-01201810.1155/2018/74128697412869Delayed Presentation of Tetralogy of Fallot with Isolated CyanosisZachary Zemore0Avni Sharma1Kerri Carter2Aline Baghdassarian3Departments of Emergency and Internal Medicine, VCU Health, Richmond, VA, USADepartment of Pediatrics, VCU Health, Richmond, VA, USADepartment of Pediatrics, Division of Cardiology, VCU Health, Richmond, VA, USADepartment of Emergency Medicine, Division of Pediatric Emergency Medicine, VCU Health, Richmond, VA, USAA pediatric patient with hypoxia or cyanosis can frighten even the most seasoned emergency providers. Patients with these symptoms require immediate evaluation and intervention to stabilize their condition. While the differential can be broad, specific attention must be paid to cardiopulmonary etiologies. Tetralogy of Fallot is the most common cyanotic congenital heart abnormality, and routine screening surprisingly misses a significant amount of these cases. This case serves as an example of a missed diagnosis by screening efforts and reaffirms the resuscitation algorithm of a hypoxic pediatric patient that all emergency providers should be familiar with.http://dx.doi.org/10.1155/2018/7412869
spellingShingle Zachary Zemore
Avni Sharma
Kerri Carter
Aline Baghdassarian
Delayed Presentation of Tetralogy of Fallot with Isolated Cyanosis
Case Reports in Pediatrics
title Delayed Presentation of Tetralogy of Fallot with Isolated Cyanosis
title_full Delayed Presentation of Tetralogy of Fallot with Isolated Cyanosis
title_fullStr Delayed Presentation of Tetralogy of Fallot with Isolated Cyanosis
title_full_unstemmed Delayed Presentation of Tetralogy of Fallot with Isolated Cyanosis
title_short Delayed Presentation of Tetralogy of Fallot with Isolated Cyanosis
title_sort delayed presentation of tetralogy of fallot with isolated cyanosis
url http://dx.doi.org/10.1155/2018/7412869
work_keys_str_mv AT zacharyzemore delayedpresentationoftetralogyoffallotwithisolatedcyanosis
AT avnisharma delayedpresentationoftetralogyoffallotwithisolatedcyanosis
AT kerricarter delayedpresentationoftetralogyoffallotwithisolatedcyanosis
AT alinebaghdassarian delayedpresentationoftetralogyoffallotwithisolatedcyanosis