ECG interpretation with one glance

Often I find someone hands you an ecg print out, points to one lead and says "...obviously the defect is antero-lateral to the septal portion of the apex" (or something similar). So here's a neat picture based way to remember which lead covers which area.

All ECG's are presented in this format:

and I like to superimpose the following picutres:

So Lead I, aVL, V5 and V6 are lateral (picture of Caffe Latte), Lead II, III and aVF are inferior (Info sign), chest leads V1 and V2 are septal (7 in french, sept), chest lead V3 + V4 are anterior (Ant). Don't worry about aVR - I don't think anyone ever does. So just like in the kids game, all you have to do is remember where each of the pictures are.

Signs of Infective Endocarditis

A series of hand gestures to remember the signs of infective endocarditis.

• Live long and prosper (Captain Janeway) - janeway lesions found in the palm and soles of foot.
• Spider upside down in OS-tralia - oslers nodes found in finger pads and toes.
• Nails - splinter haemorrhages
  

Raynauds Phenomenon

Russian Flag = Raynauds Phenomenon

White: pale, cold and numb
Blue: cyanotic
Red: return of blood flow (rubor)

*thanks to Nicolas for this one

CXR Heart Failure

*apologies, this wasn't posted quite in time for today!
....also this is nicked from oxford handbook.

Hypovolaemic Shock Classification

Transfusion Complications

Complications of red cell transfusion: 1) mild allergic: fever, ITCH, urticaria, wheeze 2) infection: HIV, bacteria 3) incompatibility: acute haemolytic 4) iron overload and fluid overload.

Vaughan Williams Classification

Examples include: Flecainide (Class I), Atenolol (Class II), Amiodorone (Class III) and Verapamil (Class IV).

Antithrombin

Courtesy of Adam:
Not sure a picture is suitable for this one!

"Anti-thrombin is a te(n)orrist" it inhibits factors:

• Ten
• 7/7
• 9/11
  

Vitamin K Dependant Clotting

Vitamin K dependant clotting factors = the buses that travel up kensington high street. The 27 (2 + 7) the 9 and the 10.

*credit to my lovely wife for this one

Heart Valve Lesions

Generally being a "leftie" is seen as bad, so they should be expelled*! Right handed people are more creative and inspirational.
So... a lesion on the left will be loudest on expiration. And a lesion on the right loudest on inspiration.

*=apologies to lefties