Skip to main content

Tetralogy Of Fallot X-Ray Diagnosis


dysnea centeral cyanosis Xray
Courtesy Of Dr Tayyab Akhtar MO Holy Family Hospital Rawalpindi
Pakistan
its a X-ray chest PA (Posterio-anterior) view of a 14 year old boy who was presented to us with Central cyanosis and shortness of breath. what is the likely diagnosis? and how? Post your answer as comment. 





Answer will be published after five answers.
Answer: X ray shows typical boot shaped heart of Teratology Of Fallot (TOF). Which was later confirmed by echocardiography. But there is a dark area at the right side of the film which looks like gastric shadow. This raises suspicion of situs inversus with levocardia or situs incompletus but Dr. Tayyab Akhtar says, "we were unable to confirm situs inversus with levocardia or situs incompletus because patient was unwilling to stay at the hospital". 
The frequency of situs inversus with dextro cardia is 1 per 10,000 births while the frequencey of situs inversus with levocardia is 1 per 22,000 births.
Labels:

Comments

  1. AliDecember 27, 2011 at 4:48 PM

    Its cardiomegaly. . may be due to aortic stenosis

    ReplyDelete
  2. BAKHT UMARDecember 27, 2011 at 5:38 PM

    1=>CARDIO MEGALY due toVENTRICUALR SEPTAL DEFECT wh may b associated with AORTIC STENOSIS ...
    2=> HYPER INFLATED lungs due to COMPENSATORY response ov lungs to CYANOSIS n DYSPNEA...

    ReplyDelete
  3. jawadDecember 27, 2011 at 7:55 PM

    heart is a bit boot shaped TOF lekin i m confused whether its a cavity with air fluid level in right lower zone or its a a stomach bubble ...but thats on the left side so either film is upside down or its situs inversus .....bottom line i m not sure.

    ReplyDelete
  4. Rafia RiayasatDecember 28, 2011 at 8:12 AM

    Boot shaped heart of TOF may be

    ReplyDelete
  5. Amnah Ikhlaq AbbasiDecember 28, 2011 at 8:13 AM

    its tof leading to central cynosis...and plus situs inversus with levocardia

    ReplyDelete

Post a Comment

Post Your Reply and Give Your Opinion About the Post

Popular posts from this blog

Human Parasites, Types of Parasites, and Classification

Parasite: A parasite is a living organism which gets nutrition and protection from another organism where it lives. Parasites enter into the human body through mouth, skin and genitalia. In this article, we will generally discuss the types and classification of parasites. It is important from an academic point of view. Those parasites are harmful, which derives their nutrition and other benefits from the host and host get nothing in return but suffers from some injury. Types of Parasites Ecto-parasite: An ectoparasite lives outside on the surface of the body of the host. Endo-parasite: An endo-parasite lives inside the body of the host, it lives in the blood, tissues, body cavities, digestive tract or other organs. Temporary parasite: A temporary parasite visits its host for a short period of time. Permanent parasite: Permanent parasite lives its whole life in the host. Facultative parasite: A facultative parasite can live both independently and dependently. It lives in the
Post a Comment
Read more.>>

How to taper off, wean off beta blocker, atenolol, Propranolol, Metoprolol

Beta blockers include, atenolol (Tenormin), propranolol (Inderal ) and metoprolol (Lopressor) and are used to treat high blood pressure, certain cardiac problems, migraine and few other conditions. People usually take atenolol, propranolol or metoprolol for many years as a treatment of high blood pressure or after having an episode of heart attack . Sometimes, it becomes necessary to withdraw these beta blockers due to their potential side effects that trouble the patients or sometimes doctor wants to change the drug and shift the patient to some other anti-hypertensive medicine. No matter whatever the cause is, whenever, a patient who has been using a beta blocker for a long period of time, and he needs to be stopped from further usage of that beta blocker, must not stop taking it. One should taper off the dose of a beta blocker. Now a question arises how to wean off or taper off a beta blocker? The method of tapering off beta blocker varies from individual to individual. Allow you
Post a Comment
Read more.>>