9 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Eric Strong @DrEricStrong ... - Strong Medicine ... #aflutter #ecg ... #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 ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Eric Strong @DrEricStrong ... - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG
 • Regularly-occurring atrial activity
 • ≥ 240 atrial depolarizations (i.e. flutter waves)
Eric Strong @DrEricStrong ... - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Eric Strong @DrEricStrong ... - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
manifestations and risk ... - Strong Medicine ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... Intraabdominal - Orthopedic ... one post op Cardiology ... • <6mo since stroke ... stratification #diagnosis
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
An abrupt rise in ... are enough to diagnose ... that’s called “clinical ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
brain PRES Clinical ... Risk factors 3. ... circulation: MCA ACA ... Constipation, Seizures, Stroke ... • EEG: With persistent