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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
) Atrial Flutter ... Counterclockwise) Atrial Flutter ... ) Atrial Flutter ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... (Clockwise) Atrial ... Flutter on EKG ... #Atrial #Flutter ... #aflutter #ecg
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
and (Left) vs Clockwise ... the circuit can reverse ... , causing clockwise ... appearance on ECG ... #Classification
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Possible atrial flutter ... Control rate (e.g ... possible atrial flutter ... Control rate (e.g ... management #cardiology #algorithm
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... junction origin (e.g ... Saw-Tooth = Atrial Flutter ... • U waves = severe ... Interpretation #ECG
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Paroxysmal AF, atrial flutter ... Atrial fibrillation/flutter ... Valvular disease (e.g ... , stenosis) • Severe
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... and no apparent focus ... Severe bleeding: ... attending physician (e.g ... fever #severity #classification
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... / hypoxemia -> focus ... the cause: stop, reverse ... #typea #typeb #classification
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
for assessing an ECG ... WOBBLER: Each letter ... to focus on ... interval • This refers ... the physician to focus