Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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cardiology ekg electrocardiogram aflutter flutter management counterclockwise hand reverse sign treatment xray avnrt awaves cannon cardiomyopathy clockwise comparison differential disorders
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
(Clockwise) Atrial ... ) Atrial Flutter ... Flutter #aflutter #ecg ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
activity without typical ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Typical (Counterclockwise ... ) Atrial Flutter ... Counterclockwise #Atrial ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... (Clockwise) Atrial ... #Clockwise #Atrial ... #cardiology #clinical ... #diagnosis
Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
Specific for critical ... maker' lesion Typically ... Serial EKGS in pts ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
ROLANDO FRACTURE Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
Fracture line is typically ... • Mechanism: Axial ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis ... #MSK
Mallet Finger Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... Hyperflexion injury with axial ... Mallet #Finger #Radiology ... #XRay #Diagnosis ... #MSK
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 ... the case as Typical ... that’s called “clinical
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 Myasthenia Gravis - Summary • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
50 years in men Diagnosis ... : • Based on clinical ... - 85% have typical ... - Improves clinical ... #management #neurology
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Clinical • Under-recognized ... pregnancy • May have typical ... Stable patients typically ... support for patients clinically ... Serial TTE and close
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