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:
Typical (Clockwise) Atrial ... Flutter on EKG ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Atrial Flutter on EKG
 β€’ Regularly-occurring atrial activity
 β€’ β‰₯ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... EKG β€’ Regularly-occurring ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Isthmus Independent Atrial Flutter
 β€’ Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter β€’ Rapid ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Typical (Counterclockwise) Atrial Flutter on EKG
 β€’ Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Reverse Typical (Clockwise) Atrial Flutter on EKG
 β€’ Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... #ecg #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... period without chest ... Serial EKGS in pts ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
(e.g. ectopic atrial ... Flutter PR Interval ... Anterior (V3-4) β€’ Lateral ... #Electrocardiogram ... #cardiology #diagnosis
Longstanding Sarcoidosis
Here a typical chest film in a patient with long standing Sarcoidosis (stage IV).
There is
Here a typical chest ... The differential diagnosis ... #Clinical #Radiology ... #CXR #Lateral # ... Sarcoidosis #Fibrosis #RadiologyAssistant
The location of the cardiac valves is best determined on the lateral radiograph.
A line is drawn
On this lateral ... enlargement of the left atrium ... #Clinical #Diagnosis ... #Radiology #CXR ... #Mitral #MVR #RadiologyAssistant