Pivot shift clinical neurology - GrepMed

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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 ... Injury #ACLTear #clinical

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 ... Injury #ACLTear #clinical

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 ... #clinical #msk

Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
• Alkalosis
• ↑ beta-2 adrenergic simulation
• Erythropoiesis

Transcellular Shift ... Transcellular shifts ... Diagnosis #Algorithm #nephrology

Causes of Hyperkalemia - Differential Diagnosis Algorithm
• Increased Intake
• Reduced Excretion (IV potassium with

Transcellular Shift ... #Hyperkalemia #Nephrology

Pivot Shift test for Knee Instability

The patient lies supine while the examiner grasps the leg by

Pivot Shift test ... PT_yuu_mizu628 #Pivot ... #Shift #PivotShift ... #Knee #Injury #clinical

Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be

(transcellular shift ... Causes #workup #nephrology

Hypophosphatemia - Differential Diagnosis Algorithm
• Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
• Redistribution/

Redistribution/ Shift ... Algorithm #causes #nephrology

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