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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Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Typical (Clockwise) Atrial ... Flutter on EKG ... Counterclockwise) Atrial ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... CTI-independent flutter ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Atrial Flutter on EKG
 • Regularly-occurring atrial activity
 • ≥ 240 atrial depolarizations (i.e. flutter waves)
Atrial Flutter on ... EKG • Regularly-occurring ... #Flutter #aflutter ... #ecg #ekg #electrocardiogram ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Counterclockwise) Atrial ... Flutter on EKG ... Counterclockwise #Atrial ... #Flutter #aflutter ... #cardiology #clinical
Atrial Flutter on Jugular Neck Examination

What does the neck / JVP exam suggest about the patient’s
Atrial Flutter on ... flutter with 3: ... #Flutter #Jugular ... #JVP #Neck #PhysicalExam ... #clinical #cardiology
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Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Typical (Clockwise) Atrial ... Flutter on EKG ... Typical #Clockwise #Atrial ... #Flutter #aflutter ... #cardiology #clinical
Quincke's Pulse in Aortic Regurgitation

Pulsations illuminated by flashlight.

#Quinckes #Pulse #Aortic #Regurgitation #clinical #video #fingernail #cardiology #physicalexam
Quincke's Pulse ... #Quinckes #Pulse ... #clinical #video ... #fingernail #cardiology ... #physicalexam
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1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
cue to look for flutter ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
used to detect atrial ... atrial flutter ... is suspected clinically ... depolarization, atrial ... #Cardiology #EKG
Corrigan's Pulse in Severe Aortic Regurgitation - Bounding Carotid Pulse

Dr. André Mansoor @AndreMansoor - Author of
Corrigan's Pulse ... in Severe Aortic ... Carotid #sign #arterial ... AorticRegurgitation #AR #PhysicalExam ... #Clinical #Video
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