62 results
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
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... Transcellular Shift ... Transcellular shifts ... Differential #Diagnosis #Algorithm ... nephrology #low #potassium
Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,
(ACL), Lateral pivot ... shift, Apley compression
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Differential Diagnosis Algorithm ... Excretion (IV potassium ... Transcellular Shift ... Differential #Diagnosis #Algorithm
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
Differential Diagnosis Algorithm ... Transcellular Shift ... Differential #Diagnosis #Algorithm ... #causes #potassium
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
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
minutes) Decrease potassium ... • IV Fluids Shift ... potassium intracellularly ... Sodium bicarbonate Potassium ... Hyperkalemia #management #potassium
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
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management Algorithm ... Dialysis Serum potassium ... blocks, QRS axis shift ... #hyperkalemia #potassium ... diagnosis #management #algorithm