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aflutter atrial cardiology ecg electrocardiogram differential management rheumatology typical causes counterclockwise disease endocarditis infectiousdiseases infective reverse table testing active activetb
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
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
• Negative F ... #aflutter #ecg ... #ekg #electrocardiogram ... #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 ... Echocardiographic features: Mobile ... #Endocarditis #comparison
Tuberculosis Testing LATENT TB • LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
result with no clinical ... immunocompromised (e.g ... because false-negative ... sample = 95% • A negative ... #Workup #TB #Latent
Blood Culture-Negative Infective Endocarditis (BCNIE) Definition: No etiology found after 3 separate blood cultures remain negative for
antimicrobials, clinical ... BCNIE Diagnostic ... special stains (e.g ... #Endocarditis #diagnosis ... #differential #workup
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup ... and Differential Diagnosis ... patients with a negative ... 109 mm Hg) with clinical ... #Hypertension #Workup
IgG4-Related Disease Clinical history: Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor 4 phenotypes: •
Related Disease Clinical ... PET-CT Imaging (→ Diagnostic ... • Some false negative ... Glucocorticoids (0.6 mg/kg ... management #phenotypes #workup
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
to 1:1 F:M • Clinical ... • Immunologic Workup ... pANCA anti-MPO - Negative ... druginduced #lupus #sle #comparison ... #rheumatology #diagnosis
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