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ekg clinical aflutter atrial electrocardiogram typical counterclockwise management msk reverse boxers classification clockwise comparison differential dislocation ecgeducator echocardiogram elbow emergency
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
up, slow down; "negative ... • V1: Broad & negative ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... • Negative F ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... up, slow down; "negative ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... • 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
Typical atrial flutter ... This results in negatively-directed ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
R Wave Progression - normal chest lead ECG shows an rS-type complex in lead V1 with
normal chest lead ECG ... increase in the relative ... #Diagnosis #Cardiology ... #MedStudent #EKG
Torsades de Pointes • "Twisting of the pointes" • QRS axis swings from positive to negative direction
from positive to negative ... Originates from single focus ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Posterior Elbow Dislocation The elbow is the second most commonly dislocated major joint in adults and the
location of olecranon relative ... Complex, pending orthopedic ... Dislocation #Posterior #Radiology ... #XRay #Diagnosis ... #Management #Orthopedics
Boxer's Fracture - ED Management Be sure to assess for wounds in patients with fractures of the
Splint: Ulnar gutter ... Discharge home with orthopedic ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis ... Management #Hand #Orthopedics
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... Intraabdominal - Orthopedic ... one post op Cardiology ... risk Chest X-ray ... stratification #diagnosis
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