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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Clockwise) Atrial Flutter ... Counterclockwise) Atrial Flutter ... Clockwise) 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 • Inferior ... Clockwise #Atrial #Flutter ... #aflutter #ecg
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Clockwise (Right) Flutter ... Typical atrial flutter ... the circuit can reverse ... #EKG #Cardiology ... #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 ... @AmyChung #EKG
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