25 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 ... Injury #ACLTear #clinical
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 ... Injury #ACLTear #clinical
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 ... #Knee #Injury #clinical
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
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
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
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
incongruous with clinical ... Enteral potassium ... Intravenous potassium ... Internet Book of Critical ... #Hypokalemia #Management
Tinea Versicolor (Pityriasis versicolor) 
NOT a dermatophyte infection 
Caused by saprophytic, lipid-dependent yeasts 
Clinical 
 •
lipid-dependent yeasts Clinical ... Diagnosis • Potassium ... meatballs appearance Management ... SkinRash #Diagnosis #Management
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Diagnosis and Management ... Shift of extracellular ... Monitor potassium ... Differential #Diagnosis #Management
Hyperkalemia management algorithm 2023-2024 based on UKKA and KDIGO guidelines.

#hyperkalemia #electrolytes #algorithm #emergency #management

Notes:

(1) Up to
Hyperkalemia management ... algorithm #emergency #management ... pay attention to clinical ... ) I've added a potassium ... patients with potassium