14 results
Criteria for LBBB RBBB LAFB LPFB #Diagnosis #EM #IM #Cardiology #EKG #RBBB #LBBB #Criteria #LAFB #LPFB
for LBBB RBBB LAFB ... LPFB #Diagnosis ... LBBB #Criteria #LAFB ... #LPFB #BundleBranchBlock
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Left Anterior Fascicular ... Visualmedapp #LAFB ... Left #Anterior #Fascicular
Pacemaker Placement Indications
Class I:
 • Third degree block
 • Advanced 2nd degree block
 • Symptomatic Mobitz
compromise • Bi/Tri-fascicular ... symptoms • RBBB + LaFB
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
block - RBBB, LAFB ... /LPFB (see below
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
WPW, LVH, LBBB, LAFB ... dextrocardia, normal LPFB
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Medial Longitudinal Fasciculus
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Intraventricular blocks, fascicular
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
hypertension • Zona Fasciculata
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
AV pathway B - Bifascicular ... looking for B bifascicular
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
medial longitudinal fasciculus