39 results
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 #test ... Sports #Ortho #msk
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 ... #PivotShift #test ... #ACL #Knee #Injury ... cruciate #ligament #msk
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
of Drug-Induced Hyperkalemia ... Angiotensin-converting enzyme (ACE ... • Increased EC shift ... • Exogenous (KCL ... MunerMohamed1 #hyperkalemia
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 shift ... #Drawer #Test #msk
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Causes of Hypokalemia ... out, causes of hypokalemia ... that is leaky all ... (transcellular shift ... drain wide open all
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
, Hypokalemia, Erectile ... higher risk of hyperkalemia ... ARB, diabetes) ACE ... - Pregnancy, Hyperkalemia ... contraindications #table
Pivot Shift test for Knee Instability

The patient lies supine while the examiner grasps the leg by
Pivot Shift test ... indicating likely ACL ... #PivotShift #test ... #ACL #Knee #Injury ... #Orthopedics #msk
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
Lever Sign) for ACL ... rises from the table ... rise from the table ... #Lever #Sign #ACL ... physicalexam #sports #msk
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... Drugs Causing Hyperkalemia ... • NSAIDs • ACE ... Intracellular Shift
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... Drugs Causing Hyperkalemia ... • NSAIDs • ACE ... Intracellular Shift