Pivot shift diagnosis - GrepMed

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Lateral pivot shift test: Valgus stress on knee plus internal/external rotation of knee during knee flexion

Lateral pivot shift ... knee flexion #Diagnosis

Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,

(ACL), Lateral pivot ... shift, Apley compression ... #Diagnosis #Sports

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

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

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

Hypokalemia - Differential Diagnosis Algorithm

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

- Differential Diagnosis ... Transcellular Shift ... Transcellular shifts ... #Differential #Diagnosis

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 #Diagnosis

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

- Differential Diagnosis ... Transcellular Shift ... #Differential #Diagnosis

Oxygen-Hemoglobin Dissociation Curve

Left Shift (↓ O2 unloading to tissue), Left = Lower:
• ↓ H+ (↑

Curve Left Shift ... Temperature Right Shift

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

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