Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 β€’ Inferior leads:
Clockwise) Atrial Flutter ... Clockwise) Atrial Flutter ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter
 β€’ Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... CTI-independent flutter ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
- Diagnosis and ... Causes Clinical ... Hyper-eosinophilc Syndrome ... #Diagnosis #Causes ... #algorithm
Atrial Flutter on EKG
 β€’ Regularly-occurring atrial activity
 β€’ β‰₯ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... depolarizations (i.e. flutter ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Deep T Wave Inversions - Differential
Normal variants 
  A. Juvenile T wave pattern
(Yamaguchi syndrome ... wave inversion syndrome ... #Differential #Diagnosis ... #Causes #Cardiology ... #ECG #EKG #Electrocardiogram
Typical (Counterclockwise) Atrial Flutter on EKG
 β€’ Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial Flutter ... Counterclockwise #Atrial #Flutter ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 β€’ Inferior leads: "Positive" waves often notched (usually not
Clockwise) Atrial Flutter ... Clockwise #Atrial #Flutter ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Causes of Palpitations
 β€’ ARRHYTHMiA 
 β€’ SINUS ARRYTHMIA 
 β€’ ATRIAL FIBRILLATION 
 β€’ ATRIAL
FIBRILLATION β€’ ATRIAL FLUTTER ... PARKINSON WHITE SYNDROME ... HEART FAILURE β€’ CARDIOMYOPATHY ... #Differential #Diagnosis ... #Cardiology
LUMBAR Syndrome

What do you call a segmental lumbosacral hemangioma + spinal problems?? LUMBAR syndrome, a fairly
LUMBAR Syndrome ... pathogenesis β€’ MRI ... spine + MRI/MRA ... #Radiology #Diagnosis ... #Clinical
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(2) Atrial flutter ... (2) Sick Sinus Syndrome ... bradyarrhythmia #ECG #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential