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 ... Counterclockwise) Atrial ... Typical (Clockwise) Atrial ... #cardiology #clinical
Isthmus Independent Atrial Flutter
 β€’ Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Isthmus Independent Atrial ... atrial activity ... suggests a right atrial ... suggests a left atrial ... #cardiology #clinical
Physical Exam - Corrigan's Pulse

While the patient was sitting upright, the right carotid artery was visibly
chronic severe aortic ... rapid fall in arterial ... #PhysicalExam # ... Video #Neck #AorticRegurgitation ... #Clinical #Waterhammer
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Corrigan's Pulse in Severe Aortic Regurgitation - Bounding Carotid Pulse

Dr. AndrΓ© Mansoor @AndreMansoor - Author of
Corrigan's Pulse ... in Severe Aortic ... Carotid #sign #arterial ... AorticRegurgitation #AR #PhysicalExam ... #Clinical #Video
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Atrial Flutter on EKG
 β€’ Regularly-occurring atrial activity
 β€’ β‰₯ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... atrial activity ... β€’ β‰₯ 240 atrial ... waves) / min ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG
 β€’ Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... Counterclockwise #Atrial ... #Flutter #aflutter ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG
 β€’ Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... Typical #Clockwise #Atrial ... #Flutter #aflutter ... #cardiology #clinical
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
used to detect atrial ... flutter waves when ... atrial flutter ... depolarization, atrial ... #Cardiology #EKG
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
cue to look for flutter ... waves 2. ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960. 
Early
Atrial Flutter on ... JamesOngMD #Atrial ... #PhysicalExam #JVP ... #Clinical #Video ... #Cardiology
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