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differential electrocardiogram aflutter atrial nephrology causes typical counterclockwise echocardiogram hyperkalemia intercellularshift reverse sign workup a4c arthritis avnrt awaves bcnie bloodculture
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
Independent Atrial Flutter ... #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
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
EKG • Regularly-occurring ... #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 ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Dextrocardia on EKG • Limb leads look like LA ←→ RA transposition • V1 ←→ V2
Dextrocardia on EKG ... #Dextrocardia #EKG ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Polyuria - Differential Diagnosis Algorithm Polyuria = >3L Urine output / 24 hours Urine osmolality = 2 (Na
- Differential Diagnosis ... Algorithm Polyuria ... osmolality = 2 (Na ... solute intake (e.g ... #Algorithm #nephrology
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... additional clot seen in RA ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
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 Hepatorenal Syndrome Diagnosis • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome Diagnosis ... liver disease (e.g ... responsiveness (the latter ... • Low urine Na ... #HRS #nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
- Differential Diagnosis ... Algorithm Persistent ... reabsorption • RTA ... Protein deposition (eg ... #Algorithm #Causes
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