38 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Reverse Typical (Clockwise ... ) Atrial Flutter ... Counterclockwise) Atrial Flutter ... Reverse Typical (Clockwise ... ) Atrial Flutter
Age of Ossification of Carpal Bones
Capitate - 1 Month
Hamate - 2 Months
Triquetral - 3 Years
Lunate -
Age of Ossification ... remember the age of ossification ... LEFT hand it is clockwise ... and anti-clockwise ... drdevradiology #Ossification
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
and (Left) vs Clockwise ... (Right) Flutter ... Typical atrial flutter ... reverse, causing clockwise ... atrial flutter
Ossification of Carpal Bones

It’s always tricky to remember the age of ossification of the carpal bones
Ossification of ... remember the age of ossification ... and sequence of ossification ... the sequence is CLOCKWISE ... wrist (and anti-clockwise
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical (Clockwise ... ) Atrial Flutter ... Reverse #Typical #Clockwise ... #Atrial #Flutter ... #aflutter #ecg
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Causes of Tachycardia ... tachycardia • Atrial flutter ... tachycardia • Atrial flutter ... Diagnosis #Algorithm #Causes
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular

Regular Rhythm - Narrow Complex
(AVNRT, OAVRT, AFIutter ... Tachycardia: • AFib > AFIutter ... whether AF is cause ... Tx: Underlying cause ... Narrow #Irregular #causes
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
Causes of Palpitations ... FIBRILLATION • ATRIAL FLUTTER ... #Palpitations #Causes
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Tachycardia • Aflutter ... • AFib • AFIutter ... Diagnosis #Algorithm #causes
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Possible atrial flutter ... Treat underlying cause ... possible atrial flutter ... Treat underlying cause