Talk:Tetralogy of Fallot

message: The article used to contain a claim that ToF was the most common cyanotic defect only after one month of age, because D-TGA was more common but the arterial switch procedure had 50% mortality.  I revised the claim to make it more coherent but, now, after referring to Nadas' Pediatric Cardiology, 2ed, pages 559 "tetralogy of fallot..is the most common cyanotic defect" and 655 (exhibit 37-2, showing 96% survival at 18 months after arterial switch procedure) I am just removing it.  Please *do not* put it back unless you can explain the profound discrepancy between what the article said and what the standard reference work (Nadas) for the field says.
Tls (talk) 02:13, 27 April 2010 (UTC)
thread_title:  Claims about prevalence of various cyanotic defects 

message: Who was Fallot? -- Zoe
::A french doctor (pathologist) in Marseille: Fallot, Etienne L. A., 1850 - 1911, who described in 1888, that these (3 or) 4 malformations belong together. Ers 06:08, 14 Sep 2004 (UTC)
thread_title:  Naming 

message: What is wrong with the diagram?  It isn't legible in the thumbnail view, but if you click on it to see a larger image, the image box is blank. ++Arx Fortis 20:45, 16 May 2007 (UTC)
thread_title:  Diagram 

message: changed "four" to "three" in the lead sent, producing 
: ...classically has three anatomical components.
I'm not sure whether it's vandalism, or an awkward attempt to deal with the secondary symptom, by someone who doesn't grasp that "tetra-" means four, or perhaps how much of a qualification "classically" amounts to. In any case, i think the 3/4 issue can be dealt with better than what was there before 70's change. Here's my try:
: ...classically understood to involve four anatomical abnormalities (although only three of them are always present).  
--Jerzy•t 22:23, 21 May 2008 (UTC)
thread_title:  Three/Four 

message: I removed  
: This is potentially an example of Stigler's law of eponymy.
(I think "potentially" was probably supposed to mean "if the conjecture that it's a law pans out, but never mind.) I certainly is too peripheral to be in the lead 'graph, and i'd say that as far as it should go is that if a :Category:Examples of Stigler's law is created, it probably would deserve the tag. The observation that it seems to be an example is not worthless, so i'm starting a List of examples of Stigler's law article to preserve it in.--Jerzy•t 22:42, 28 August 2008 (UTC)
thread_title:  Stigler's law 

message: re: "The pulmonic stenosis is the major cause of the malformations, with the other associated malformations acting as compensatory mechanisms to the pulmonic stenosis."
I am struggling to understand what the above statement is trying to express, can it be expressed better? Is the point of the statement to say that the pulmonary stenosis is the most significant pathology in TOF, accounting for its key features??  —Preceding unsigned comment added by Jubalj (talk • contribs) 01:04, 6 January 2009 (UTC)
thread_title:  Pulmonary Stenosis 

message: "Tetralogy of Fallot Medical Guide," by Qontro Medical Guides, appears to be this article. Amazon is selling it for $9.99. Is it legal to sell Wikipedia articles?--TDKehoe (talk) 23:41, 10 February 2009 (UTC)
replies: text: Yes. See Wikipedia:Copyrights. --Arcadian (talk) 00:52, 11 February 2009 (UTC)
thread_title:  This article is sold on Amazon for $10 

message: The article says the Tetralogy "is associated with chromosome 22 deletions...".
A patient I know of has classical Tetralogy, and testing revealed reversals on chromosome 9 instead.  Can anyone elaborate on this?  Are there potentially different causes?
Ian Adam (talk) 17:27, 31 July 2010 (UTC)
thread_title:  Chromosomal Cause 

message: "They require, therefore, follow up in specialized adult congenital heart disease centres. 55% are present."
What does the 55% refer to?
2001:630:212:DE0:91B6:EDB8:7801:E44C (talk) 23:09, 2 May 2017 (UTC)
replies: text: Agree and trimmed Doc James (talk · contribs · email) 01:50, 3 May 2017 (UTC)
thread_title:  55% are present? 

message: Hello!
I am a 4th year medical student pursuing a career in pediatric medicine.  I enrolled in the Wikiproject course offered at my school. I am honored to participate in this unique opportunity to review and add to medical information available on Wikipedia. I ultimately hope that some readers will find my work beneficial. 
During this month-long course, I will be reviewing and editing this page to provide reliable referenced information. This article is currently a C class high importance topic. I will improve this page by:
-Introduction: The introduction is well referenced. However, I would like to introduce additions and modifications for a more systematic presentation of comprehensive information.
-Signs and Symptoms: This section provides a good list of many symptoms of TOF. In addition to adding citations to the current information I will add information about the most common presenting symptoms of TOF. Also, this paragraph starts with explaining the pathophysiology of TOF. I will re-write the intro to this paragraph as to make it more in-line to the “signs and symptoms” of TOF and introduce hyperlinks to integrate with the pathophysiology section.  The article lacks a complications section -that would be a subsection of the Signs and Symptoms section. I will attempt to develop a complications section that will discuss complications of not treating TOF as well as corrected TOF complications. 
-Pathophysiology: This section is well written and referenced in terms of the pathophysiology relating to the 4 malformations present in TOF. I will introduce information about the right to left shunt present in TOF at the start of the section. I will also add references as needed. 
-Treatment: This section does a good job in introducing the historical treatments of TOF.  I wish to develop it further by elaborating on current medical and surgical treatments. I will also present these treatment in a plausible order in which they might be tried. Citations will be added for a more robust section. 
-Epidemiology: Could benefit from referencing.
-I will also add an image to this article. The section to which I will add the picture is yet to be identified. 
I look forward to editing this article. Suggestions and opinions are welcome! 
Thank you Lablabz  — Preceding unsigned comment added by Lablabz (talk • contribs) 11:46, 10 January 2019 (UTC)
replies: text: Great welcome. I have simplified and condensed what you added to the lead. Lead should be kept as a fairly short summary. Moved some of the added text to the body. Doc James (talk · contribs · email) 16:18, 16 January 2019 (UTC)
replies: text: Hello! I am a medical student in the same course as Lablabz and have a few comments as a peer reviewer of your editing of the article. 
* Intro: I feel that it may be too detailed for a simple introduction. Maybe shorten it to 1-2 sentences max per topic. You can leave out the history portion for example since it is longer in the summary section than in the history portion.
* Signs and Symptoms: You definitely achieved the goals you set out to do! The first sentence might be a bit too long. You are still missing citations in some places, for example "the primary symptom is low blood oxygen saturation..." and "may result in hypoxic brain injury and death". You are also using some complicated words that most people wouldn't understand such as "dyspnea, clubbing, polycythemia, cyanosis". I think your last paragraph is a good example of great explanations, easy language, and good citations. You explain systemic vascular resistance and it had >1 citation to suport it. 
* Pathophysiology: It seems like it might have been strong to begin with. The only comment I have is that it would be great if the normal heart picture was labeled so that the reader can refer back to that picture when studying the table so they know where the pulmonic valve is for example. You are also missing citations in the last 2 paragraphs of the "four malformations" section and the last paragraph of additional anomalies.
* Diagnosis: did you find a picture of an echo? I think that would add more value than your current picture. Also the color doppler link is broken since the page doesnt exist.
* Treatment: This was my favorite section. I would maybe switch the total surgical repair with palliative surgery sub-section. I think the reader cares more about the up-to-date treatment than the historical treatment.
* Epidemiology: could benefit from some of the info you put in the summary section. I would actually switch those around, put what you have in the intro in the epidemiology section and vice-versa.
Overall, I think this is a great edition of this article. It could still benefit from additional citations, simplification of wording (or explanations), as well as shortening the summary section a little bit. Good job and let me know if you have questions! Poodle0011 (talk) 00:15, 30 January 2019 (UTC)
thread_title:  WikiProject Medical Student Edit 

message: Ref says "Thomas was a major contributor in the development of operative techniques."
We already say "with Vivien Thomas also providing substantial contributions and listed as an assistant"
Yes on OR records if you are not the lead surgeon you get listed as an assistant. That does not indicate a slight. Doc James (talk · contribs · email) 15:55, 17 February 2019 (UTC)
thread_title: Vivien Thomas

message: Hi! I am a 4th year undergraduate student taking a health information inquiry course. For this class, I will be editing this article page, adding a new section about complications and additional information for the epidemiology section. Please feel free to list more sections that need an improvement.  — Preceding unsigned comment added by Manakbajaj20 (talk • contribs) 01:09, 6 November 2021 (UTC)
thread_title:  Health Information Undergraduate Student