Trying to remember Peds mnemonic

[Snelj23]

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It's been a few months since I was on Peds, and I've forgotten a great tool for remembering when the cyanosis of congenital heart defects presents after birth. I know its format is "2 minutes:, 2 weeks:, 2 months:, 2 years:" , but I don't remember which defects go where.

Can anyone help me out? Thanks.

 

[medInUSA]

The most important thing to remember is this:

IF the cyanosis develops immediately after birth the most likely diagnosis is transposition of the great vessels

If the cyanosis develops later on the most likely diagnosis is tetralogy of fallot

 

[docmd2010]

yes, and if it develops 2-3 days after, and ekg shows left axis dev. it's probably tricuspid atresia, this of course happens 2-3 days after birth as the ductus is closed. give these pt's PGE to keep it open until they baby gets surgery to correct it.

 

[medInUSA]

True,

another useful way to remember it is that all the important cyanotic lesions begin with a T


Transposition of the great vessels
Tetralogy of fallot
Tricuspid Atresia
Total Anomalous Venous return.


All the the Important non cyanotic lesions have a D in them

ASD
VSD
PDA