12 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)
• Increased EC shift ... • Exogenous (KCL ... #differential #diagnosis ... #pathophysiology ... #pharmacology #potassium
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
- Differential Diagnosis ... Transcellular Shift ... #Differential #Diagnosis ... Algorithm #causes #potassium ... #low #pathophysiology
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 ... hypokalemia #urine #potassium ... differential #algorithm #diagnosis
Hyperkalemia - Differential Diagnosis Framework

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

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

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Differential Diagnosis ... • NSAIDs • ACE ... • Recent IV potassium ... Intracellular Shift ... #causes #potassium
Clavicular Fracture: Pathogenesis and clinical findings

Group I (69%) - Middle third (mid-shaft)
Group II (29%) - Distal
Middle third (mid-shaft ... other injuries in all ... Fracture #Grading #Diagnosis ... #pathophysiology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
proximal ulnar shaft ... ligamentous injury (LCL ... I or Ill) • Ortho ... Radiology #XRay #Diagnosis