False fungal ortho msk - GrepMed

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1,3 Beta-D-Glucan and Galactomannan - Pathogens, and Testing Characteristics
1,3 ß-D-glucan:
• Most fungi excluding mucor and

ß-D-glucan: • Most fungi ... and pneumocystis False ... inconsistently in other fungi ... • False positives ... #Fungi #Fungal

Normal (Negative) Lachman Test for ACL Injury

Andrew Dold, MD @dr.dold.md

#Lachmans #test #ACL #Knee #Injury #Normal #Negative

PhysicalExam #Sports #Ortho ... cruciate #ligament #msk

Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
• Polysaccharide cell wall component of many fungi
• Pathogens:

Fungal Biomarkers ... component of many fungi ... breakthrough IFI in HM • False ... recipients, CGD pts • False ... Sara Dong #Fungal

Growth Patterns - Molds, Yeasts and Dimorphic
• Mold - Arial mycelia and vegitative mycelia

Cullen Lilley, MS ... #microbiology #fungal ... #fungus

Positive Lachman test in ACL Injury

Here is an exam of a patient under anesthesia with an

PhysicalExam #Sports #Ortho ... cruciate #ligament #msk

Pivot-Shift Test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic

PhysicalExam #Sports #Ortho ... #msk

Lachman test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic

PhysicalExam #Sports #Ortho ... cruciate #ligament #msk

1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives
1,3-Beta-D-Glucan
• Cell wall component of many fungi

Specificity and False ... component of many fungi ... BAL samples • False ... closely related fungi ... Galactomannan #Fungal

(1,3)-β-d-glucan
Abundant cell wall polysaccharide, found in most fungi, except cryptococci, zygomycetes (mucor, rhizophus) and blastomyces.
Sensitivity 64%-93%;

found in most fungi ... Specificity 87%-100% False ... blood • Certain fungus ... 3)-ß-d-glucan False ... glucan #betad #fungal

Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of

immobilizer • Ortho ... Disposition: DC with ortho ... Orthopedics #Sports #MSK

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