By Waverly Curtis
"I have the physique of a Chihuahua, however the brain of a grasp sleuth."
Aspiring P.I. Geri Sullivan's new case has received her speaking Chihuahua, Pepe, sizzling less than the collar. prosperous widow Lucille chippie left her whole fortune to her liked canine, and a person is making an attempt to poison them. an individual who might damage a perro is less than a cucaracha in Pepe's e-book. but if Geri and Pepe examine, they observe that it's not only the coddled canine who're at risk. Now there are human pursuits too.
At the lavish chippie manor, Pepe digs for clues one of the pampered pooches, sour family members, suspicious employees, and larcenous attorneys. yet there's just one diminutive detective clever adequate to avoid wasting the day--and the dogs...
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Extra info for The Chihuahua Always Sniffs Twice (Barking Detective Mysteries Series, Book 5)
An appropriate P wave axis (upright in Leads I and aVF) 3. qxd 9/14/06 10:37 AM Page 21 Day 1—The Basics VIII. Systematic approach to ECG interpretation A. , atrial flutter with 4:1 AV block) 1. Supraventricular 2. Ventricular B. , sinus rhythm and ventricular tachycardia) 1. Supraventricular 2. Ventricular C. , right or left atrial abnormalities) D. PR interval E. QRS complex 1. Axis 2. , in left ventricular hypertrophy (LVH), right ventricular hypertrophy (RVH), or low voltage] 3. , with right bundle branch block [RBBB], left bundle branch block (LBBB), or fascicular blocks] 4.
Echocardiography and other newer imaging techniques, not the electrocardiogram (ECG), are the gold standards for assessing chamber size and wall thickness. B. In general, the sensitivities of the following criteria are moderate (in the range of 50%), and the specificities are very high (> 90%). Right atrial abnormality (Day 2-1) A. 5 mm (historically referred to as P pulmonale). B. P wave axis is frequently >70°. Left atrial (LA) abnormality A. In most forms of acquired LA abnormality, the commonest manifestation is a wide (>40 msec) and deep (>1 mm) terminal portion of the P wave in V1.
The P wave axis 1. The normal P wave axis is quite restricted in its range (15°–75°) because of the location of the SA node in the upper right corner of the right atrium. 2. The P wave should obviously be upright in Leads I and aVF. VI. Determining heart rate A. If the rhythm is regular, the rate can be determined by the distance between complexes. B. If the rhythm is irregular, the rate can be determined by counting the number of beats in 6 sec and multiplying by 10. VII. Sinus rhythm A. Sinus rhythm is defined as: 1.
The Chihuahua Always Sniffs Twice (Barking Detective Mysteries Series, Book 5) by Waverly Curtis