11 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Eric Strong @DrEricStrong ... - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
without typical inferior ... - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
on EKGInferior ... - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
on EKGInferior ... - Strong Medicine ... #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
becoming acute anterior ... wall MI — 'widow ... EKGS in pts are crucial ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Mucoid Degeneration of the ACL
Imaging Findings:
 • T2-hyperintense fluid-signal within the enlarged ACL on both the
• The anterior ... cruciate ligament ... Differential Diagnosis ... #clinical #Radiology ... #diagnosis #msk
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Sister had MI in ... Differential/diagnosis ... inversions V1-V4 plus inferior ... Pulmonary #Embolism #ECG ... #clinical #cardiology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... Diagnosis Framework ... Impairment: • Acute stroke ... ) studies • MRI ... #Diagnosis #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Vascular narrowing on MRA ... /CTA • Anterior ... Reversible course Differential ... Constipation, Seizures, Stroke ... #management #neurology