31 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 ... Sports #Ortho #msk
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 ... cruciate #ligament #msk
Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,
(ACL), Lateral pivot ... shift, Apley compression ... #Drawer #Test #msk
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 ... #Orthopedics #msk
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
Differential Diagnosis Algorithm ... Transcellular Shift ... • Refeeding syndrome ... Transcellular shifts ... Differential #Diagnosis #Algorithm
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Differential Diagnosis Algorithm ... Shift Work) Sleep ... Restless Legs Syndrome ... Hypoventilation Syndrome ... Parkinson's, MS)
Hypokalemia Differential Diagnosis Algorithm

Low intake 
• poor oral intake 

Renal loss 
• Medication 
• Hypomagnesemia 
•
Differential Diagnosis Algorithm ... • Gitelman's syndrome ... • Bartter's syndrome ... Transcellular shift ... Differential #Diagnosis #Algorithm
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
Differential Diagnosis Algorithm ... Transcellular Shift ... - Refeeding Syndrome ... Differential #Diagnosis #Algorithm
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Differential Diagnosis Algorithm ... Redistribution/ Shift ... ), Hungry bone syndrome ... Differential #Diagnosis #Algorithm