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cardiology awaves physicalexam aflutter cannon differential electrocardiogram management neck treatment typical abnormal avnrt cannona clockwise comparison counterclockwise criticalcare cvp frog
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... " Reverse Typical ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... Flutter on EKG ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
, sinus tachycardia ... - Flutter waves ... - Atrial flutter ... Atrioventricular dissociation ... Jugular #Waveforms #JVP
Cannon A Waves on Neck Examination Cannon a waves! Notice that it occurs randomly, not predictably w/
Neck Examination ... AV dissociation ... for DDI and an atrial ... tachycardia much ... #JVP #Clinical
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 Cannon A Waves • Caused by atrial contracting against a closed tricuspid valve • Atrioventricular dissociation
• Caused by atrial ... + retrograde atrial ... activation from SVT (e.g ... #diagnosis #cardiology ... #CVP
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... are enough to diagnose ... #PhysicalExam #JVP ... #Cardiology #Neck
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 Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
shock state) • Tachycardia ... telemetry, 12-Lead EKG ... 5) Analyze and Reverse ... - Distended neck ... crackles, elevated JVP
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
in the chest or neck ... exam • 12-lead ECG ... flutter, or atrial ... fibrillation/flutter ... Valvular disease (e.g
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
- ↓ Effective arterial ... heparinized tube) • ECG ... bradycardia → sine wave ... Monitor for tachycardia ... hypertonic Amp IVP
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