Thread by @COREIMpodcast

1/ It’s Thursday, #MedTwitter, which means it’s time to take out your calipers and get to business. It’s #12LeadThursday!

Remember to use your system to go through each and every ECG methodically.

2/ Rate: ~75bpm
Rhythm: NSR
Axis: ...

3/ Do you have a schema or framework for thinking about a right axis deviation? What’s your differential?

Let us know in the comments below, and check out the framework we’ve provided!

4/ If you take a very, very close look at the EKG, you’ll start to get some hints, a whiff, of what’s amiss in our 28 y/o patient...

5/ ...and the CXR below confirms our suspicion: dextrocardia (appropriate for #LeftHandersDay, maybe?).

6/ Given our patient’s chief complaint, it’s helpful to remind ourselves what other conditions are associated with dextrocardia.

7/ Thanks as always to @KelseyGrossman for authoring this post and to @gregorykatz for peer review. Graphics by @RahulM_MD.

Check out this post and more on our website: coreimpodcast.com/2020/08/13/28m…