PivotShift pivot shift differential - 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

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

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

(ACL), Lateral pivot ... shift, Apley compression

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

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

Lateral pivot shift

Hypokalemia - Differential Diagnosis Algorithm

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

Hypokalemia - Differential ... Transcellular Shift ... Transcellular shifts ... #Hypokalemia #Differential

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

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

Hyperkalemia - Differential ... Transcellular Shift ... Hyperkalemia #Nephrology #Differential

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 of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss
- Increased GI Loss
- Increased Urinary

Hypokalemia - Differential ... Transcellular Shift ... #Hypokalemia #Differential

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