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Pathology 15

A 1-month-old boy is brought to the emergency department by his mother after she noticed that he had developed bluish skin and lips after a fit of crying. The patient was born at term without complications. He has been feeding, stooling, and urinating normally. On physical examination, a systolic ejection murmur is noted at the left upper sternal border and a holosystolic murmur at the left mid-sternal border. Tetralogy of Fallot is suspected. The patient is positioned with his knees to his chest and is given 100% oxygen while cardiology is consulted.

Which of the following would not be expected to be found in the suspected underlying condition?

  • A) Overriding aorta
  • B) Pulmonary regurgitation
  • C) Right ventricular hypertrophy
  • D) Right ventricular outflow tract obstruction
  • E) Ventricular septal defect


Robert Li

Dr. Ted O'Connell


Dr. Ted O'Connell

Last updated

Oct 25, 2022

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