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clinical diagnosis atrial ecg aflutter electrocardiogram typical counterclockwise endocarditis jvp reverse antecubital arm classification clockwise comparison cvp differential estimate estimation
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
on EKG Typical ... up, slow down; "negative ... • V1: Broad & negative ... #aflutter #ecg ... #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
Atrial Flutter on Neck Examination If you can dx this rhythm, you are born before 1960. Early
Atrial Flutter on ... Hence 2:1 flutter ... #Neck #PhysicalExam ... JVP #Clinical #Video ... #Cardiology
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 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 ... Antecubital #Vein #PhysicalExam ... #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
Post-Hypoxic Spinal Flutter on Physical Exam Post hypoxic spinal flutter - spontaneous and sternal compression inducible rhythmic
Post-Hypoxic Spinal Flutter ... hypoxic spinal flutter ... day 3, surface EMG ... #PhysicalExam # ... Legs #clinical #video
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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
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