14 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Typical (Clockwise) Atrial ... Flutter on EKG ... #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 ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG
 • Regularly-occurring atrial activity
 • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... EKG • Regularly-occurring ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
cue to look for flutter ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic ... pulmonary disease or CHF ... flutter or MAT ... pulmonary disease or CHF ... #algorithm
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... Counterclockwise #Atrial ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... Typical #Clockwise #Atrial ... #cardiology #clinical ... #diagnosis
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
• Mechanism: Axial ... management MH/CCF ... /CWRU EM Res @MetroHealth_EM ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
• Mechanism: Axial ... management MH/CCF ... /CWRU EM Res @MetroHealth_EM ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... Mallet #Finger #Radiology ... #XRay #Diagnosis