Sunday, May 12, 2013


A mnemonic for rheumatic fever: Jones major criteria: JONES:
  • Joints (polyarthritis)
  • Obvious (i.e. cardiac criterion: carditis)
  • Nodules (subcutaneous)
  • Erythema marginatum
  • Sydenham’s chorea


If you see a right bundle branch block (RBBB) on an ECG,  look also for a left anterior fascicular block (LAFB).


ECG findings of left anterior fascicular block (LAFB):
  • Left axis deviation, i.e. mean frontal QRS axis between -30 and -90 degrees;
  • qR in aVL and usually I;
  • rS in III and aVF.

Kerley B lines on the chest x-ray of a patient not responding to management of pulmonary edema? Think lymphangitic carcinomatosis.
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Saturday, May 12, 2012

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WITH A LOTS OF LATERAL THINKING