29 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 ... and a chronic ACL ... 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 ... Test for ACL Knee ... dr.dold.md #Pivot ... #Shift #PivotShift ... #test #ACL #Knee
Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,
include the Lachman (ACL ... anterior drawer (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 ... indicating likely ACL ... PT_yuu_mizu628 #Pivot ... #Shift #PivotShift ... #test #ACL #Knee
Lateral pivot shift test: Valgus stress on knee plus internal/external rotation of knee during knee flexion
Lateral pivot shift ... LateralPivotShift #Test #ACL
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
Angiotensin-converting enzyme (ACE ... • Increased EC shift ... • Exogenous (KCL ... #pharmacology #potassium
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 ... #Hyperkalemia #management ... #potassium #nephrology
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... Dialysis Serum potassium ... blocks, QRS axis shift ... #hyperkalemia #potassium ... high #diagnosis #management
Potassium Repletion - Oral vs IV
Oral KCl 
 - 40mEq at a time, q2-4 hrs
Potassium Repletion ... Oral vs IV Oral KCl ... : GI upset IV KCl ... DrEricStrong #Potassium ... #Oral #Intern #Management
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
the basis of the potassium-to-creatinine ... creatinine) • Cell shift ... • Low Urine Cl ... • High Urine Cl ... hypokalemia #urine #potassium