25 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 Andrew ... #PivotShift #test ... #ACL #Knee #Injury
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 ... PhysicalExam #Sports #Orthopedics
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Rhabdomyolysis - Differential ... Shift of extracellular ... fluid into injured ... Treatment: 1 ... Dialysis for severe hyperkalemia
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Shift of extracellular ... Treatment: ... Treatment of underlying ... Rhabdomyolysis #Differential
Reverse Pivot Shift Test on Physical Exam

Dx: Posterolateral corner injury; but beware proximal tib/fib instability 

Kendall
Reverse Pivot Shift ... Test on Physical ... Reverse #Pivot #Shift ... #Test #PhysicalExam ... clinical #msk #video #orthopedics
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • Trauma/Crush injury ... Intracellular Shift ... #differential #
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... with narrow base, best ... blocks, QRS axis shift ... , asystole #hyperkalemia ... management #algorithm #treatment
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... ongoing rhabo, crush injury ... cardiac membrane Shift ... not quickly) #Hyperkalemia
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • Trauma/Crush injury ... Intracellular Shift ... #differential #