11 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
Negative F ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
on EKG • Inferior ... up, slow down; "negative ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
on EKG • Inferior ... • V1: Broad & negative ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... >1 of V1-V3 + negative ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... Phos), CBC with differential ... Pyridostigmine - New diagnosis ... (vital signs, clinical ... Do not measure negative
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... Anesthesiology #Anesthesia #Checklist ... #Diagnosis #Management
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 ... BAL GM does not differentiate ... 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 ... #diagnosis #differential ... algorithm #management #cardiology
Endocarditis Summary

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