The Macintosh laryngoscope has a curved blade which allows exposure of the larynx by positioning the tip in the vallecula, anterior to the epiglottis, lifting it out of view. Designed 1943 by Sir Robert Reynolds Macintosh (1897–1989) New Zealand Anaesthetist.
Janeway lesions are non-tender, small erythematous or haemorrhagic macular or nodular lesions on the palms or soles only a few millimeters in diameter that are indicative of infective endocarditis.
Edward Gamaliel Janeway (1841 - 1911) was an American physician and pathologist. Remembered for his description of Janeway lesions (1899) as a distinctive painless dermatological manifestation seen in some cases of infective endocarditis
70 yr old male who presented with general lethargy and postural dizziness. He has a collapse the evening prior and recently had a diarrhoeal illness. His medications include warfarin, metoprolol, frusemide, allopurinol, colchicine and digoxin. Describe and interpret this ECG. LITFL Top 100 ECG
Spaso Miljesic (1946 - ) Croatian, Nurse Specialist. Famous for the 'Spaso technique' for the reduction of shoulder dislocations described in 1998.
56 yr old male who present with 2 hours of chest pain. Past history of hypertension and smoking. The ECG's were performed 15 mins apart with ongoing chest pain. Describe and interpret this ECG. LITFL Top 100 ECG
Risk has also been categorised as low in those animals that are healthy and can be observed versus high risk in those that are wild, unwell or can not be observed. Human rabies immunoglobulin (HRIG) is taken from the plasma…
A 2 year old child is brought in by her mother. The child is limping and seemingly refusing to weight bear on the right leg. The mother is a little vague about what might have happened but wonders if her daughter was injured while playing with her older siblings out in the garden this afternoon. The child objects to you touching and moving her right lower leg.
89 yr old female presents with chest pain. She has a history of 2nd degree AV block with PPM in-situ. Describe and interpret this ECG. LITFL Top 100 ECG
10yr old boy who presented with mild wheeze and shortness of breath. Vitals signs: BP 105/60 RR 20 T 36.4 Sats 99%. Describe and interpret this ECG. LITFL Top 100 ECG
Roth spots: Retinal haemorrhages with white or pale centres, commonly associated with subacute bacterial endocarditis and immune complex mediated vasculitis.
A 74 yr old patient presents to the ER having suffered several episodes of chest pain over the preceding 24 hours. Describe and interpret his ECGs. LITFL Top 100 ECG