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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 ... #PhysicalExam #Sports

Normal (Negative) Pivot-Shift Test for ACL Knee Injury

Andrew Dold, MD @dr.dold.md

#Pivot #Shift #PivotShift #test #ACL #Knee

Test for ACL Knee ... dr.dold.md #Pivot ... #Shift #PivotShift ... #test #ACL #Knee ... #PhysicalExam #Sports

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 ... #Diagnosis #Sports

Pivot Shift test for Knee Instability

The patient lies supine while the examiner grasps the leg by

Pivot Shift test ... indicating likely ACL ... #Shift #PivotShift ... #test #ACL #Knee ... #PhysicalExam #Sports

Lateral pivot shift test: Valgus stress on knee plus internal/external rotation of knee during knee flexion

Lateral pivot shift ... flexion #Diagnosis #Sports ... LateralPivotShift #Test #ACL

Ventilator Alarms
Increased Rate - Patient is tiring on a weaning mode or experiencing pain/anxiety
- Reassess

cuff leak, check pilot ... leaks & tighten all ... cuff leak, check pilot ... leaks & tighten all ... Differential #Diagnosis #Management

Isolated Anterior Cruciate Ligament (ACL) Injury: Pathogenesis and clinical findings
• Feeling a "pop"
• Acute

Cruciate Ligament (ACL ... Lachman's test + Pivot ... AnteriorCruciateLigament #ACL ... #Injury #MSK #Sports

Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"

spacing between all ... spacing between all ... dislocation • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #Sports

Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the

ligamentous injury (LCL ... > MCL), brachial ... fracture • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #Sports

Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

• Bova score

Prognostication based on scores ... class (30-day all ... prognostication #diagnosis #management

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