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Kaplan Qbank USMLE



Author2 Posts
  #1

Tetralogy of Fallot

whats the management?

1st morphine, O2, PG 2nd temporary shunt 3rd surgery

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Can someone explain tet spell???

  #2

tet spells occur due to increase the shunt from Rt.vent. to the over riding aorta through the VSD, any couse that will increase this shunt will lead to tet spells ; like dehydration , infection, exercise , tacycardia.
and to treat it you play the same principle , Fluids ,Beta Blockers , increase TPR and Venous return.
This is according to my understanding.smiling face

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