12 results
Pivot-Shift Test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic
Pivot-Shift Test ... in ACL-deficient ... dr.dold.md #Pivot ... #Shift #PivotShift ... #Injury #ACLTear
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 ... Test for ACL Knee ... Injury Andrew ... #Shift #PivotShift ... #test #ACL #Knee
Pivot Shift test for Knee Instability

The patient lies supine while the examiner grasps the leg by
Pivot Shift test ... Injury. ... #Shift #PivotShift ... #test #ACL #Knee ... #Injury #clinical
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Diagnosis and Management ... syndrome, Electrical injury ... Shift of extracellular ... fluid into injured ... Dialysis for severe hyperkalemia
Isolated Anterior Cruciate Ligament (ACL) Injury: Pathogenesis and clinical findings
 • Feeling a "pop"
 • Acute
Cruciate Ligament (ACL ... ) Injury: Pathogenesis ... Lachman's test + Pivot ... Shift test + Anterior ... #Injury #MSK #Sports
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... • LDH ↑ • Hyperkalemia ... Hypocalcemia/Late - Hypercalcemia ... Shift of extracellular ... Differential #Diagnosis #Management
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • Trauma/Crush injury ... • NSAIDs • ACE ... Intracellular Shift
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • Trauma/Crush injury ... • NSAIDs • ACE ... Intracellular Shift
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... ongoing rhabo, crush injury ... cardiac membrane Shift ... offending agent (ACE-I ... Treatment #Algorithm #Management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... , rhabdo/crush injury ... clear cause) Management ... Ca-gluconate or 1g CaCl ... #Diagnosis #Management