19 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 ... PhysicalExam #Sports #Ortho
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 ... PhysicalExam #Sports #Ortho
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
Angiotensin-converting enzyme (ACE ... • Increased EC shift ... • Exogenous (KCL ... differential #diagnosis #pathophysiology ... #pharmacology #potassium
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
Transcellular Shift ... Algorithm #causes #potassium ... #low #pathophysiology
Drugs that Impair Renal Potassium Excretion 

Decreased ENaC channel function: Amiloride, Triamterene, Pentamidine
Decreased Aldosterone Synthesis: Heparin,
that Impair Renal Potassium ... Aldosterone Release: ACE ... #Hyperkalemia #Pathophysiology ... Pharmacology #Impaired #Potassium
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
the basis of the potassium-to-creatinine ... creatinine) • Cell shift ... • Low Urine Cl ... • High Urine Cl ... hypokalemia #urine #potassium
Pivot Shift test for Knee Instability

The patient lies supine while the examiner grasps the leg by
Pivot Shift test ... indicating likely ACL ... PT_yuu_mizu628 #Pivot #Shift ... #PivotShift #test ... #ACL #Knee #Injury
Pathogenesis and Pathophysiology of Diabetic Ketoacidosis (DKA)

DKA is a result of an absolute or relative insulin
Pathogenesis and Pathophysiology ... counterregulatory hormones act ... driven by insulin) shifts ... details of the pathophysiology ... #Pathophysiology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• NSAIDs • ACE ... • Recent IV potassium ... Intracellular Shift ... diagnosis #causes #potassium
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Dermatomyositis) AKI - Pathophysiology ... Shift of extracellular ... Monitor potassium