10 results
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
the tricuspid valve ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology ... Flutter #Types #Classification
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
Normal variant • Hypercalcemia ... fibrillation Clinical ... No prognostic value ... #Differential #Cardiology ... #EKG #ECG #Hypothermia
Classic EKG triad of long QT, ST-depression, and PVCs in Hypokalemia
Worry about hypokalemia; this patient had
Classic EKG triad ... Worry about hypokalemia ... LongQTC #PVCs #EKG ... #ECG #Electrocardiogram ... #Cardiology #Clinical
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... progression, LA: left atrium ... #Diagnosis #Cardiology ... Dysfunction #Grading #Classification ... #Grades #Criteria
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
(AV blocks) - ECG ... group-beating" on the ECG ... • This is a clinically ... #ekg #ecg #diagnosis ... electrocardiogram #classification
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Libman Sacks) • Atrial ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... to bolus these values ... ’s • Reduced Arterial ... #typea #typeb #classification
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
• Prosthetic valve ... Libman Sacks) • Atrial ... • Prosthetic Valve ... → TEE • Duke Criteria ... ↑ ESR, CRP • EKG
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
current guidelines (eg ... fluid status (hypervolemia ... Enroll in HFpEF clinical ... trial #HFpEF ... Management #Algorithm #cardiology
Solitary Cell Plasmacytoma

What?
• Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma)
• In 3%
-70 y/o • 2/3 Males ... plasmacytoma) Clinical ... red bone marrow, e.g ... SPB - commonly axial ... CRAB - no anemia, hypercalcemia