11 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Counterclockwise) and Reverse ... • Inferior leads ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... on EKGInferior ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
Saw-Tooth = Atrial Flutter ... Septal (V1-2) • Anterior ... • U waves = severe ... Interpretation #ECG ... #diagnosis #system
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
exacerbations, severe ... ventilated • CXR, Lung ... doppler, CTA • ECG ... of AECOPD: • Clinical ... Exacerbation #treatment #pulmonary
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
in-hospital mortality in inferior ... RV dysfunction. e.g ... Ahmed Ghoneem, MD MSc ... #artery #catheter ... #diagnosis #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Differential/diagnosis ... inversions V1-V4 plus inferior ... Patient had severe ... #clinical #cardiology
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... renal failure Clinical ... (e.g. incidental ... papules, nodules; anterior ... /posterior MSK,
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
substance use • IV catheter ... verrucous) • Lung ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... Change in clinical ... unless prior heart/lung ... stratification #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
substance use • IV catheter ... , verrucous) - Lung ... Cerebral > Splenic, Pulmonary ... ↑ ESR, CRP • EKG ... Persistent bacteremia/fevers