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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Atrial Flutter on EKG ... up, slow down; "negative ... • V1: Broad & negative ... cardiology #clinical #diagnosis ... #comparison
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... • Oxygen • Treatment ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Characteristics of Selected Pneumonias

Streptococcus pneumoniae (pneumococcus). Gram-positive diplococci. 
Haemophilus influenzae. Pleomorphic gram-negative coccobacilli. 
Staphylococcus aureus. Plump
Plump gram-negative ... Gram-negative rods ... Pneumonia #Patterns #Diagnosis ... #Comparison #Table ... #Presentation #Pulmonary
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
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... • Normal or negative ... level <100 pg/ml EKG ... : • Negative for ... #differential #diagnosis
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Pulmonary embolism ... RJonesSonoEM #Pulmonary
Barcode Sign in Pneumothorax on POCUS - M-Mode

seashore sign: normal lung sliding

barcode/stratosphere sign: pneumothorax 

#Pneumothorax #Barcode
Pneumothorax on POCUS ... Barcode #Sign #POCUS ... #Diagnosis #Comparison ... stratosphere #Clinical #Pulmonary
Brugada syndrome Types 1, 2 and 3

There are three types of ECG presentations, referred to as
most typical (and diagnostic ... The T-wave is negative ... #Diagnosis #ECG ... #EKG #Brugada #Syndrome ... #Comparison #Types
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
entirely positive or negative ... positive in aVR and negative ... VT #VTach #SVT #Comparison ... #ekg #cardiology ... #diagnosis #electrocardiogram
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
, hemoptysis Treatment ... • Carbapenem (e.g ... Lung #Abscess #Diagnosis ... #Pulmonary #Clinical