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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
(Clockwise) Atrial ... Flutter on EKG ... ) Atrial Flutter ... (Clockwise) Atrial ... #ecg #ekg #electrocardiogram
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
(Clockwise) Atrial ... Flutter on EKG ... #Clockwise #Atrial ... #ecg #ekg #electrocardiogram ... #diagnosis
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Typical atrial ... Atypical atrial ... appearance on ECG ... #Diagnosis #ECG ... #EKG #Cardiology
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
without typical ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
) Atrial Flutter ... on EKG • Inferior ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Chest X-ray - Lung ... as clinically indicated ... (e.g. echocardiogram ... , EKG) Dr. ... iBookCC #COVID19 #algorithm
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
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
diagnosis but rather ... presenting with ADHF typically ... pulmonary edema (“B-lines ... ECG is vital while ... #algorithm #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Change in clinical ... unless prior heart/lung ... CARP, DECREASE V trials
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
WOBBLER: Each letter ... to focus on ... segment • Epsilon #clinical ... #diagnosis waves ... This includes long