14 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Isoelectric segment with positive ... Inferior leads: "Positive ... Flutter #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
circuit • Positive ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... are enough to diagnose ... that’s called “clinical ... PhysicalExam #JVP #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... anterior wall MI ... Serial EKGS in pts ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Isoelectric segment with positive ... Flutter #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Inferior leads: "Positive ... Flutter #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... most common (63%) Clinical ... Classic, but rare triad ... : - MRI with contrast ... blood cultures (positive
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Blood cultures are positive ... Diagnosis? ... ↑ ESR, CRP • EKG ... #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Admit ==> Positive ... elevated LVEDP ==> MRI ... Cardiomyopathy #HOCM #HCM #clinical ... echocardiogram #plax #cardiology