18 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 #test ... #ACL #Knee #Injury
Normal (Negative) Pivot-Shift Test for ACL Knee Injury

Andrew Dold, MD @dr.dold.md

#Pivot #Shift #PivotShift #test #ACL #Knee
Negative) Pivot-Shift ... Test for ACL Knee Injury ... dr.dold.md #Pivot #Shift ... #PivotShift #test ... #ACL #Knee #Injury
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
syndrome, Electrical injury ... Shift of extracellular ... fluid into injured ... per day until stable ... Dialysis for severe hyperkalemia
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
• LDH ↑ • Hyperkalemia ... Hypocalcemia/Late - Hypercalcemia ... Shift of extracellular ... per day until stable ... Dialysis for severe hyperkalemia
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • Trauma/Crush injury ... Drugs Causing Hyperkalemia ... Intracellular Shift
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • Trauma/Crush injury ... Drugs Causing Hyperkalemia ... Intracellular Shift
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Acute spinal cord injury ... Hyporeflexia: • Hypercalcemia ... in spinal cord injury ... differential #diagnosis #table
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... ongoing rhabo, crush injury ... cardiac membrane Shift ... not quickly) #Hyperkalemia
Pivot Shift test for Knee Instability

The patient lies supine while the examiner grasps the leg by
Pivot Shift test ... indicating likely ACL Injury ... PT_yuu_mizu628 #Pivot #Shift ... #PivotShift #test ... #ACL #Knee #Injury
Causes of Hyperkalemia - Differential Diagnosis Framework
 • Cellular Shift:
   - Exercise
Causes of Hyperkalemia ... Framework • Cellular Shift ... tacrolimus - Hyperkalemic ... production: TLS, Crush injury ... Medicine @ucsdim #Hyperkalemia