12 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
on EKG Typical ... up, slow down; "negative ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... • V1: Broad & negative ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
This results in negatively-directed ... the circuit can reverse ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... Diagnosis Framework ... • Malignancy (e.g ... may have false negative ... #Diagnosis #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Pressure Waveforms - Differential ... Diagnosis - Absent ... pericarditis, severe ... #Diagnosis #PhysicalExam ... #cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Diagnosis Typically ... inspiration as the negative ... stenosis, and severe ... Kussmauls #Sign #physicalexam ... #diagnosis #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
circumferential pericardial ... mild diastolic reversal ... expiration not meeting diagnostic ... Echocardiogram #a4c #pocus ... #clinical #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... Patient had severe ... #clinical #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... Diagnosis Framework ... #Palpitations #Cardiology ... #Differential # ... Diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Coagulase-negative ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Persistent bacteremia/fevers ... #management #cardiology