12 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Typical (Clockwise) Atrial ... Flutter on EKG ... ) Atrial Flutter ... #Atrial #Flutter ... #aflutter #ecg
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... flutter is counterclockwise ... causing clockwise atrial ... Atypical atrial ... #Diagnosis #ECG
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... #Atrial #Flutter ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Isthmus Independent Atrial ... atrial activity ... suggests a right atrial ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG
 • Regularly-occurring atrial activity
 • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... atrial activity ... • ≥ 240 atrial ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... Typical #Clockwise #Atrial ... #cardiology #clinical ... #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... tachycardia (2) Atrial ... SVTs - atrial/junctional ... (3) Multifocal atrial ... #EKG #diagnosis
Point of Care Ultrasound - Probe Movements
SWEEPING:
Here we slide the probe along a slug trail of
probe along a slug trail ... may not be in line ... short axis, to long ... COMPRESSION: E.g ... Motion #Ultrasound #POCUS
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Aortoenteric Fistula - Diagnosis ... the duodenum Clinical ... Symptoms: • Classic triad ... no matter how long ... : CTA is first-line
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... Change in clinical ... unless prior heart/lung ... CARP, DECREASE V trials ... stratification #diagnosis