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clinical diagnosis orthopedics physicalexam video sports causes differential test acl ligament management cruciate knee anterior potassium sign treatment high nephrology
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 ... Sports #Ortho #msk
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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 ... Test for ACL Knee Injury ... #PivotShift #test ... #ACL #Knee #Injury ... cruciate #ligament #msk
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 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
Pivot Shift test for Knee Instability The patient lies supine while the examiner grasps the leg by
Pivot Shift test ... indicating likely ACL Injury ... #PivotShift #test ... #ACL #Knee #Injury ... #Orthopedics #msk
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 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
Lelli's Test (Lever Sign) for ACL Injury A fist is placed under the proximal 3rd of the
Sign) for ACL Injury ... rises from the table ... rise from the table ... Lever #Sign #ACL #Injury ... physicalexam #sports #msk
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 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
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