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clinical diagnosis ecg aflutter atrial electrocardiogram pocus typical cardiac complex counterclockwise differential effusion endocarditis pericardial plax reverse tamponade a4c antecubital
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 ... #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... • Negative F ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... on EKG • Inferior ... up, slow down; "negative ... #aflutter #ecg ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... on EKG • Inferior ... • V1: Broad & negative ... #aflutter #ecg ... #cardiology #clinical
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial flutter ... This results in negatively-directed ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Antecubital Vein examination to estimate JVP/CVP In this video, the antecubital veins move between Below [RA +
CVP In this video ... vertical distance relative ... E.g. in a cold room ... estimation #Clinical #Video ... #estimate #Cardiology
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Hypercoagulable (APLAS) Microbiology ... • Coagulase-negative ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Hypercoagulable (APLAS) Microbiology ... aureus, Coagulase-negative ... staphylococci Culture Negative ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology
Malignant RV Mass on POCUS Echocardiogram (PLAX) 57yo M with chest pain. Normal work up including
Mass on POCUS Echocardiogram ... work up including negative ... ECG, CXR & trop ... Carcinoma #POCUS #Echocardiogram ... #clinical #cardiology
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 Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C Pt sent to ED c intradialytic hypotension.
Tamponade on POCUS Echocardiogram ... K 5.9 without EKG ... Cultures including TB negative ... Tamponade #POCUS #Echocardiogram ... A4C #clinical #cardiology
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