SIMPLE APPROACH TO CYANOTIC CONGENTIAL HEART DISEASE

Cyanotic?

Clubbed?

PULMONARY HT NO PULMONARY HT

EISENMENGERS Tetralogy of Fallot (pulm stenosis) or

other corrected mixing chamber defect

2^ND HEART SOUND

SINGLE SPLIT NORMAL

VSD ASD Differential cyanosis?

PDA

The examiners will not expect you to identify the defect unless it is obvious – just talk sense and make a good crack at it. I recommend you read the two part review of Congenital Heart Disease in the NEJM commencing Jan 27, 2000, pg 256