24 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
on EKG Typical ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
atrial circuit • Positive ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
on EKG • Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
on EKG • Inferior ... leads: "Positive ... #aflutter #ecg ... #ekg #electrocardiogram ... #diagnosis
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial flutter ... This appears as positively-directed ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
axis swings from positive ... Originates from single focus ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... Persistent fever, positive ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
(i.e. entirely positive ... VT #VTach #SVT #Comparison ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology ... #diagnosis #electrocardiogram
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
septic shock (e.g ... resuscitation (e.g ... balance >3-4 liters positive ... choledolithiasis (e.g ... #Diagnosis #Management
Hypotension in Anesthesiology - Differential Diagnosis and Management 

Initial checklist: 
 - Verify BP (e.g. surgeon
- Differential Diagnosis ... and Management ... Initial checklist ... - Verify BP (e.g ... Head down position