PivotShift shift management - 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

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

Hypokalemia - Differential Diagnosis Algorithm

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

Transcellular Shift ... Transcellular shifts

Metacarpal Fractures - Emergency Department Management
Management - Fractures of the Metacarpal Head, Neck, Shaft and Base

Emergency Department Management ... Management - Fractures ... Metacarpal Head, Neck, Shaft ... and Base #Management

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

Alkalinization shifts equilibrium toward the plasma and urine and away from the tissues.

#Management #Toxicology #Salicylate #Aspirin

Alkalinization shifts ... #Management #Toxicology

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

Hyperkalemia Treatment Options
Stabilize cardiac membrane:
• IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
• IV Fluids
Shift

• IV Fluids Shift ... #Hyperkalemia #management

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