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diagnosis cardiology ekg electrocardiogram aflutter atrial management typical counterclockwise criticalcare endocarditis reverse syncope algorithm anesthesia anesthesiology aspergillus betadglucan biomarkers causes
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 ... CTI-independent flutter ... • Negative F ... #aflutter #ecg ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... up, slow down; "negative ... Counterclockwise #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... • V1: Broad & negative ... Clockwise #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical
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 ... Intubation only if clinically ... (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 ... Sepsis (→ 3-14) e.g ... amphetamines) Toxic: • Radiologic ... #Hyperthermia #Differential ... Anesthesiology #Anesthesia #Checklist
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 ... BAL GM does not differentiate ... Galactomannan #diagnosis #comparison
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 ... diagnosis #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... ECG is vital while ... have achieved negative ... #diagnosis #differential ... algorithm #management #cardiology
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