Concluded Case

What is the probable anatomical diagnosis?

1 month old baby presenting to emergency Chief Complaints Bluish discolouration of palms and soles which increases during crying episodes noticed by mother since 14 days of life Vitals Sp02 in all 4 Limbs around 70% Tachycardia present Physical Examination Ejection systolic murmur grade 2/6 in pulmonary area Investigations X ray picture as below

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Concluded answer

Case was confirmed to be a case of Fallot's tetralogy (VSD plus PS plus Aortic over riding plus RVH) Thank u for your valuable opinion everyone

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baby is in tets spell . boot shaped heart in xray . though it wont b evident so early . do echo first n confirm the diagnosis of tof . goal should b increased systemic vascular resistance and reduce pulmonary vascular resistance . rx oxygen propranolol iv fluids . another way to confirm it is by keeping the baby in knee chest position the saturation improves . these babies doesnt easily go in heart failure so chill . phenyephrine soda bicarb morphine can b tried as well .

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Definitely congenital heart disease Enlarged rt atrium Cardiomegaly 3 decho Opinion of paed cardiologist Fallots tetrology

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Congenital cyanotic heart disease 1. Tetralogy of Fallot 2.Pulmonary stenosis Adv. ECHO to confirm.

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Case was confirmed to be a case of Fallot's tetralogy (VSD plus PS plus Aortic over riding plus RVH) Thank u for your valuable opinion everyone

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