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diagnosis differential algorithm signs symptoms causes nephrology injury management acl hypokalemia hypophosphatemia sports clinical knee orthopedics physicalexam pivot test video
Refeeding Syndrome: Pathogenesis and clinical findings Patients at Risk of Refeeding Syndrome: - Little or no nutritional
Refeeding Syndrome ... Syndrome: - Little ... Metabolic Acidosis • Shift ... Constipation - MSK ... #pathophysiology
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Refeeding Syndrome ... Electrolyte/fluid shifts ... • These shifts ... abnormalities before refeeding ... Differential #Diagnosis #Pathophysiology
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 ... Sports #Ortho #msk
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 Causes of Hypokalemia - Differential Diagnosis Algorithm Increased Loss - Increased GI Loss - Increased Urinary
Transcellular Shift ... Beta-Agonist - Refeeding ... Syndrome #Hypokalemia ... potassium #low #pathophysiology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift ... paralysis • Refeeding ... syndrome • Thyrotoxicosis ... Transcellular shifts
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 ... cruciate #ligament #msk
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 Hypophosphatemia - Differential Diagnosis Algorithm • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use • Redistribution/
Redistribution/ Shift ... with depletion: Refeeding ... ), Hungry bone syndrome
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
Transcellular Shift ... Recovery From DKA • Refeeding ... Syndrome • Acute ... Osteomalacia • Fanconi Syndrome
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Transcellular Shift ... : Refeeding Syndrome ... Tumor Genesis Syndrome ... FGF23: Fanconi Syndrome
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Transcellular Shift ... : Refeeding, Glycolysis ... alkalosis, Hungry bone syndrome ... Tumor genesis syndrome ... FGF-23: Fanconi syndrome
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