450 results
Pivot-Shift Test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic
Pivot-Shift Test ... in ACL-deficient ... and a chronic ACL ... dr.dold.md #Pivot ... Injury #ACLTear #clinical
Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,
include the Lachman (ACL ... anterior drawer (ACL ... ), Lateral pivot ... #Diagnosis #Sports
Lateral pivot shift test: Valgus stress on knee plus internal/external rotation of knee during knee flexion
Lateral pivot shift ... knee flexion #Diagnosis ... LateralPivotShift #Test #ACL
Normal (Negative) Pivot-Shift Test for ACL Knee Injury

Andrew Dold, MD @dr.dold.md

#Pivot #Shift #PivotShift #test #ACL #Knee
Normal (Negative) Pivot-Shift ... Test for ACL Knee ... dr.dold.md #Pivot ... PivotShift #test #ACL ... Injury #ACLTear #clinical
Hyperuricemia - Differential Diagnosis Algorithm
Primary - Over-production
     • Increased turnover of nucleotides
Primary
Hyperuricemia - Differential ... Diagnosis Algorithm ... drugs • ACE ... Hyperuricemia #Differential ... #Diagnosis #Algorithm
Ventilator Alarms
Increased Rate - Patient is tiring on a weaning mode or experiencing pain/anxiety
 - Reassess
cuff leak, check pilot ... leaks & tighten all ... leaks & tighten all ... MechanicalVentilation #Nursing #Differential ... #Diagnosis #Management
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... Hypertensive: • High Al ... #Hypokalemia #Differential ... #Diagnosis #Algorithm
Efficacy and safety of quetiapine in critically ill patients with delirium: a prospective, multicenter, randomized, double-blind,
placebo-controlled pilot ... Devlin JW et al, ... Internet Book of Critical
Urine Anion Gap in NAGMA
NA + K - Cl = surrogate for Urine NH4+
NH4+ is excreted
NAGMA NA + K - Cl ... excreted with Cl ... is intact: - All ... AnionGap #NAGMA #diagnosis ... #differential #
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
Angiotensin-converting enzyme (ACE ... • Exogenous (KCL ... #hyperkalemia #differential ... #diagnosis #pathophysiology