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cardiology electrocardiogram aflutter flutter typical comparison counterclockwise differential reverse arrhythmias atrium cell clockwise contrast echocardiogram effect hematology independent infectiousdiseases isthmus
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
CTI-independent flutter • Negative ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Wolff-Parkinson-White Syndrome WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... ventricle known as the bundle ... QRS interval on EKG ... #ECG #EKG #Electrocardiogram ... #Clinical #Diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Flutter on EKG ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Flutter on EKG ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Multifocal Atrial Arrhythmias on ECG Multifocal atrial rhythm & Multifocal atrial tachycardia ECG Recognition: • Variable P wave
Arrhythmias on ECG ... tachycardia ECG ... because one of the bundle ... #diagnosis #ekg ... electrocardiogram #clinical
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Small secundum ASD ... #cardiology #clinical ... echocardiogram #s4c #pocus #bubble
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... • Coagulase-negative ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... aureus, Coagulase-negative ... staphylococci Culture Negative ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG
Solitary Cell Plasmacytoma What? • Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma) • In 3%
plasmacytoma) Clinical ... red bone marrow, e.g ... creating a “soap bubble ... SPB - commonly axial ... marrow biopsy negative
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