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diagnosis aflutter ecg electrocardiogram typical counterclockwise infectiousdiseases reverse avnrt awaves bcnie bloodculture cannon clockwise comparison frog independent isthmus jvp management
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... up, slow down; "negative ... • V1: Broad & negative ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
CTI-independent flutter ... • Negative F ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... up, slow down; "negative ... #Flutter #aflutter ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... • V1: Broad & negative ... #Flutter #aflutter ... #cardiology #clinical
Blood Culture-Negative Infective Endocarditis (BCNIE) Definition: No etiology found after 3 separate blood cultures remain negative for
Infective Endocarditis ... antimicrobials, clinical ... special stains (e.g ... #Infective #Endocarditis ... #diagnosis #differential
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... • Coagulase-negative ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
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 ... excludes other differentials ... that’s called “clinical ... #JVP #Cardiology
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... Libman Sacks) • Atrial ... ↑ ESR, CRP • EKG ... #Differential # ... Diagnosis #cardiology
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