12 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Flutter on EKG ... Eric Strong @DrEricStrong ... - Strong Medicine ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Eric Strong @DrEricStrong ... - Strong Medicine ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG
 • Regularly-occurring atrial activity
 • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... - Strong Medicine ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... - Strong Medicine ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... - Strong Medicine ... #cardiology #clinical ... #diagnosis
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... dissection • ... Abnormalities #Disorders #Cardiology ... #Differential #Diagnosis ... #Algorithm #causes
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... root, and left atrium ... dissection.- Michael ... Northwestern University #Clinical ... #EM #Radiology
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
- Differential Diagnosis ... Referred Pain: • Aorta ... : Dissection, Aneurysm ... - Strong Medicine ... #causes #primarycare
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... flutter, or atrial ... ., aortic insufficiency ... regurgitation • Severe aortic ... #Palpitations #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... are enough to diagnose ... that’s called “clinical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology