PivotShift shift causes physicalexam - GrepMed

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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 ... dr.dold.md #Pivot #Shift ... #PivotShift #test ... clinical #video #PhysicalExam

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

Andrew Dold, MD @dr.dold.md

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

Negative) Pivot-Shift ... dr.dold.md #Pivot #Shift ... #PivotShift #test ... clinical #video #PhysicalExam

Causes of Hyperkalemia - Differential Diagnosis Algorithm
• Increased Intake
• Reduced Excretion (IV potassium with

Causes of Hyperkalemia ... Transcellular Shift ... Diagnosis #Algorithm #Causes

Oxyhemoglobin Dissociation Curve

Left Shift - decreased unloading of O2 at tissue level (i.e. increased

Curve Left Shift ... Hypophosphatæmia Right Shift ... #Left #Right #Shift ... #Differential #Causes

Causes of Hyperkalemia

Hyperkalemia is caused by excess potassium intake, impaired potassium excretion, or transcellular shifts. The

Causes of Hyperkalemia ... Hyperkalemia is caused ... transcellular shifts ... rarely the sole cause ... #Differential #Causes

Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,

Lateral pivot shift ... #Sports #Knee #PhysicalExam

Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss
- Increased GI Loss
- Increased Urinary

Causes of Hypokalemia ... Transcellular Shift ... Diagnosis #Algorithm #causes

Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be

Causes of Hypokalemia ... is ruled out, causes ... (transcellular shift ... Diagnosis #Algorithm #Causes

Conceptual Relationship between Volume Responsiveness and Volume Tolerance

Assessing for volume responsiveness would only tell you that

Causes of "Left ... Shift" (Decreased ... Tolerance #IVFluids #Shift

Hypokalemia Differential Diagnosis Algorithm

Low intake
• poor oral intake

Renal loss
• Medication
• Hypomagnesemia
•

Transcellular shift ... Diagnosis #Algorithm #Causes

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