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diagnosis clinical aflutter atrial electrocardiogram effusion typical cardiac complex counterclockwise differential echocardiogram pocus reverse tamponade a4c antecubital arm classification clockwise
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 ... #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
• Negative F ... Independent #Atrial #Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
on EKG • Inferior ... up, slow down; "negative ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
on EKG • Inferior ... • V1: Broad & negative ... #aflutter #ecg ... #ekg #electrocardiogram ... #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
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial ... • Malignancy (e.g ... may have false negative ... #Hemorrhagic #Pericardial ... Differential #Diagnosis #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Endocarditis Summary ... Hypercoagulable (APLAS) Microbiology ... • Coagulase-negative ... ↑ ESR, CRP • EKG ... diagnosis #management #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 - 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
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C Pt sent to ED c intradialytic hypotension.
Complex Pericardial ... K 5.9 without EKG ... Pericardial fluid ... Cultures including TB negative ... A4C #clinical #cardiology
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