II. Pathophysiology

  1. Congenital reversal of viscera
  2. Right sided heart

III. Symptoms

  1. None

IV. Signs

  1. Apical impulse right sided
  2. Right border of heart in right midclavicular line
  3. Left border behind Sternum

V. Diagnostics: Electrocardiogram (EKG)

  1. Inverted P Wave
  2. Inverted T Wave
  3. QRS Complex is negative in Lead I
  4. Lead II and III are reversed from normal appearance
    1. Lead II resembles a normal Lead III
    2. Lead III resembles a normal Lead II

VI. Radiology: Chest XRay

  1. Cardiac shadow reversed

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