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Pivot-Shift Test in ACL-deficient Knee This patient has pathologic varus alignment across the knee and a chronic
Pivot-Shift Test ... dr.dold.md #Pivot ... #Shift #PivotShift
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 Knee Examination Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,
(ACL), Lateral pivot ... shift, Apley compression
Lateral pivot shift test: Valgus stress on knee plus internal/external rotation of knee during knee flexion
Lateral pivot shift
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 ... dr.dold.md #Pivot ... #Shift #PivotShift
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 Reverse Pivot Shift Test on Physical Exam Dx: Posterolateral corner injury; but beware proximal tib/fib instability Kendall
Reverse Pivot Shift ... injury #Reverse #Pivot ... #Shift #Test #PhysicalExam
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 Causes of Hyperkalemia - Differential Diagnosis Algorithm • Increased Intake • Reduced Excretion (IV potassium with
Causes of Hyperkalemia ... Transcellular Shift ... Diagnosis #Algorithm #Causes
Causes of Hyperkalemia Hyperkalemia is caused by excess potassium intake, impaired potassium excretion, or transcellular shifts. The
Causes of Hyperkalemia ... Hyperkalemia is caused ... transcellular shifts ... rarely the sole cause ... #Differential #Causes
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 Oxyhemoglobin Dissociation Curve Left Shift - decreased unloading of O2 at tissue level (i.e. increased
Curve Left Shift ... Hypophosphatæmia Right Shift ... #Left #Right #Shift ... #Differential #Causes
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift ... Transcellular shifts
Causes of Hypokalemia - Differential Diagnosis Algorithm Increased Loss - Increased GI Loss - Increased Urinary
Causes of Hypokalemia ... Transcellular Shift ... Diagnosis #Algorithm #causes
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