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clinical aflutter atrial cardiology diagnosis ecg ekg electrocardiogram flutter typical counterclockwise reverse clockwise comparison derm independent isthmus lichen nejm nystagmus
Seesaw Nystagmus Sawtooth or seesaw nystagmus is an unusual but characteristic type of nystagmus. Typically there
Nystagmus Sawtooth ... seesaw #nystagmus #sawtooth
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 Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Inferior leads: Sawtooth ... notched (usually not sawtooth
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
typical inferior sawtooth
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Inferior leads: Sawtooth
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
notched (usually not sawtooth
Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
hypergranulosis, sawtooth
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