Study Notes

Atrial Flutter

More organized, saw-tooth type pattern seen on standard 12-lead EKG. Negative flutter waves in inferior leads Positive flutter waves in V1 Typical Flutter = counterclockwise reentry around tricuspid annulus. Rate is ~250/min; noted as 2:1 or 4:1 for its atrial rate and the ratio of electrical conduction down the AV node. Atrial Flutter is often seen in […]

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Study Notes

Atrial Fibrillation

As of the time of this writing, I am a second-year internal medicine resident physician, and have been involved in the care of at least fifty patients (averaging nearly one patient per work week, a very conservative estimate) with Atrial Fibrillation (AFib), an abnormal heart rhythm.  According to MKSAP 17 Cardiovascular Medicine, it is the #1 […]

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Internal Medicine Residency | PGY-2

PGY-2 Life And Decisions

It’ll take some time to shake the feeling of being the “Intern” after twelve months with that role.  One of my primary goals for intern year (first year) was to learn the fundamentals of real-world medical practice.  If I had to choose a few from a long-list, some fundamentals would include:  recognize life-threatening and other urgent but common […]

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Internal Medicine Residency | PGY-1

PGY-1 “Intern” Year In Review

It’s time for the obligatory “year in review” post, and I couldn’t be more proud.  Intern year is an emotional rollercoaster, marked by episodes of triumph and failure.  The year is almost over, and I am (anxiously) awaiting my second year of residency training.  Finishing intern year (first year) is a huge milestone in my professional […]

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General Thoughts | PGY-1

Millennial Doctors and Social Media

I’m part of the “Millennials” class of physicians.  Depending on the source you read, it’s generally characterized as people born between the years 1982-2004, give or take a couple years on either end of that date range.  We’re learning a great deal from our senior medical professionals, also known as Attendings.  These are our predecessors – […]

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