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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ekg clinical atrial flutter workup anesthesia anesthesiology differential intraoperative cardiac typical counterclockwise reverse admissions admitting anaphylaxis aortic arrest balloon bradyarrhythmia
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
on EKG Typical ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Independent Atrial Flutter ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Hypothermia on EKG • J (Osborn) waves • PR, QRS, and QT prolongation • Various bradyarrythmias
Hypothermia on EKG ... bradyarrythmias (e.g ... . sinus bradycardia ... #ECG #electrocardiogram ... #cardiology #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
on EKG • Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Atrial Flutter on EKG • Regularly-occurring atrial activity • ≥ 240 atrial depolarizations (i.e. flutter waves)
EKG • Regularly-occurring ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG • Inferior leads: "Positive" waves often notched (usually not
on EKG • Inferior ... #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
60 (1) Sinus bradycardia ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Bradycardia - Differential Diagnosis Framework and Management Narrow Complex Bradycardia: • Regular: Sinus Bradycardia, AFib w/ AV
Diagnosis Framework ... epinephrine 4) Page Cardiology ... #Differential #Diagnosis ... #Management #cardiology ... #criticalcare
Hyperkalemia on EKG "Mild" Hyperkalemia • Peaked, narrow-based T Waves • Double counting of HR by EKG
Hyperkalemia on EKG ... counting of HR by EKG ... widening • Sinus bradycardia ... #ECG #electrocardiogram ... #cardiology #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Sgarbossa Criteria - Diagnostic ... Checklist for diagnosing ... #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
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