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clinical ecg ekg differential flutter typical counterclockwise endocarditis mimics reverse absence absent bradyarrhythmia bradycardia clockwise comparison contusion ctchest echocardiogram emergency
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Isoelectric segment with positive ... leads: "Positive ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
circuit • Positive ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Isoelectric segment with positive ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Inferior leads: "Positive ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
False Positive Lung Point on POCUS Lung-Cardiac Point and Lung-Diaphragm Point These images highlight selected differentials to pleural
False Positive Lung ... Point on POCUS ... lungdiaphragam #ultrasound ... #pulmonary #differential ... #diagnosis #mimics
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 Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(3) Multifocal atrial ... AV block 1º - long ... bradyarrhythmia #ECG #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... Libman Sacks) • Atrial ... Blood cultures are positive ... Cerebral > Splenic, pulmonary ... #management #cardiology
Lung sliding & pneumonia on POCUS The differential diagnosis for absence of lung sliding includes pneumonia; however,
on POCUS The differential ... diagnosis for absence ... regardless of position ... #clinical #ultrasound ... #pulmonary #mimics
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... Libman Sacks) • Atrial ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... #cardiology #infectiousdiseases
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... Several of the diagnoses ... This post will focus ... #Radiology #CTChest ... #Lung #Pulmonary
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