PivotShift shift clinical - GrepMed

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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 ... Injury #ACLTear #clinical

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 ... 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 #test ... #Knee #Injury #clinical

Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
• Alkalosis
• ↑ beta-2 adrenergic simulation
• Erythropoiesis

Transcellular Shift ... Transcellular shifts

Oxyhemoglobin Dissociation Curve

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

Curve Left Shift ... Hypophosphatæmia Right Shift ... #Left #Right #Shift

Oxygen-Hemoglobin Dissociation Curve

Left Shift (↓ O2 unloading to tissue), Left = Lower:
• ↓ H+ (↑

Curve Left Shift ... Temperature Right Shift

$5th metatarsal distal shaft fracture - Fracture detection on MSK ultrasound The Ultrasound Site - MSK ultrasound$

metatarsal distal shaft ... #metatarsal #shaft ... POCUS #Ultrasound #Clinical

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

Transcellular Shift

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

Lateral pivot shift

Conceptual Relationship between Volume Responsiveness and Volume Tolerance

Assessing for volume responsiveness would only tell you that

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

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