18 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 ... #Knee #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 ... dr.dold.md #Pivot ... #Shift #PivotShift ... #Knee #Injury #ACLTear
Emergency management of severe hyperkalemia

#hyperkalemia #management #algorithm #nephrology #Potassium #Treatment
Emergency management ... #hyperkalemia #management ... #algorithm #nephrology ... #Potassium #Treatment
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... minutes) Decrease potassium ... • IV Fluids Shift ... potassium intracellularly ... #Hyperkalemia #management
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... Algorithm • IV ... Dialysis Serum potassium ... blocks, QRS axis shift ... #algorithm #treatment
Hyperkalemia Management Algorithm
 • Treat the cause & optimize hemodynamics and ventilation
 • Reconsider treatment leadingto
Hyperkalemia Management ... Algorithm • Treat ... Intracellular K+ Shift ... #Algorithm #treatment ... #potassium #high
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia Treatment ... Algorithm ECG ... cardiac membrane Shift ... Remove potassium ... #Algorithm #Management
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Emergency Management ... - 6.4 mmol/L - Treatment ... Gluconate IV Shift ... #Hyperkalemia #management ... #algorithm #treatment
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Diagnosis and Management ... Shift of extracellular ... oxidative iniury Treatment ... Monitor potassium ... Summary #causes #treatment
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... Shift of extracellular ... Monitor potassium ... Differential #Diagnosis #Management ... #causes #treatment