14 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 ... PhysicalExam #Sports #Ortho
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 ... PhysicalExam #Sports #Ortho
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
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
Galeazzi Fracture 
Fracture of distal radial shaft with distal radial-ulnar joint disruption. Remember “MUGR” to recall
distal radial shaft ... distal radial shaft ... injuries: Rare • ED Management ... supination • Ortho ... XRay #Diagnosis #Management
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
proximal ulnar shaft ... injury (LCL) • ED Management ... I or Ill) • Ortho ... • Nonoperative managernent ... XRay #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
 • Treat the cause & optimize hemodynamics and ventilation
 • Reconsider treatment leadingto
Hyperkalemia Management ... and parenteral potassium ... Intracellular K+ Shift ... #Hyperkalemia #Management ... Algorithm #treatment #potassium
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
cardiac membrane Shift ... treatment Remove potassium ... Treatment #Algorithm #Management