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diagnosis symptoms signs management differential nephrology cardiology endocrinology pharmacology causes syndrome algorithm msk clinical pulmonary complications infectiousdiseases treatment lifecycle ophthalmology
Isolated Anterior Cruciate Ligament (ACL) Injury: Pathogenesis and clinical findings • Feeling a "pop" • Acute
Lachman's test + Pivot ... Shift test + Anterior ... #MSK #Sports #pathophysiology
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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 Oxygen-Hemoglobin Dissociation Curve Left Shift (↓ O2 unloading to tissue), Left = Lower: • ↓ H+ (↑
Curve Left Shift ... Temperature Right Shift ... Dissociation #Curve #pathophysiology
Oxyhemoglobin Dissociation Curve Left Shift - decreased unloading of O2 at tissue level (i.e. increased
Curve Left Shift ... Hypophosphatæmia Right Shift ... Dissociation #Curve #Pathophysiology ... #Left #Right #Shift
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
Transcellular Shift ... potassium #low #pathophysiology
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