15 results
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
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... is required for diagnosis ... Frequent false-negative ... #Endocarditis #comparison ... #table
Toxidromes Compared: Anticholinergic, Cholinergic, Opioid, Sympathomimetic, Sedative-Hypnotic

During your physical exam, look for evidence of some of
Sympathomimetic, Sedative-Hypnotic ... further down) clinical ... #Diagnosis #Toxicology ... #Toxidromes #Comparison ... #Table #Anticholinergics
Differentiating type-I vs. type-II MI

Sorting this out is difficult, often relying heavily on clinical judgement.

A key
relying heavily on clinical ... give someone 500 mcg ... #Diagnosis #Myocardial ... Definition #NSTEMI #Comparison ... #Table
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
Coccidioides - Negative ... cut-offs defined in clinical ... Cryptococcus - Negative ... Galactomannan #diagnosis ... #comparison
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
diagnosis but rather ... ECG is vital while ... have achieved negative ... #algorithm #management ... cardiology #treatment #table
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
and Differential Diagnosis ... with previously stable ... patients with a negative ... 109 mm Hg) with clinical ... #Differential #Diagnosis