12 results
Pivot-Shift Test in ACL-deficient Knee

This patient has pathologic varus alignment across the knee and a chronic
Pivot-Shift Test ... be performing a high-tibial ... #PivotShift #test ... #ACL #Knee #Injury ... #PhysicalExam #Sports
Normal (Negative) Pivot-Shift Test for ACL Knee Injury

Andrew Dold, MD @dr.dold.md

#Pivot #Shift #PivotShift #test #ACL #Knee
Test for ACL Knee ... Injury Andrew ... #PivotShift #test ... #ACL #Knee #Injury ... #PhysicalExam #Sports
Pivot Shift test for Knee Instability

The patient lies supine while the examiner grasps the leg by
Pivot Shift test ... Injury. ... #PivotShift #test ... #ACL #Knee #Injury ... #PhysicalExam #Sports
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Algorithm for patients ... the basis of the potassium-to-creatinine ... creatinine) • Cell shift ... hypokalemia #urine #potassium ... #differential #algorithm
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... Algorithm • IV ... blocks, QRS axis shift ... #high #diagnosis ... #management #algorithm
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
of Electrical Injury ... be delayed) — high ... especially with AC ... Evaluation #Diagnosis #Management ... #Emergency #Algorithm
Hyperkalemia Management Algorithm
 • Treat the cause & optimize hemodynamics and ventilation
 • Reconsider treatment leadingto
Hyperkalemia Management ... Algorithm • Treat ... and parenteral potassium ... Intracellular K+ Shift ... #potassium #high
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... • Trauma/Crush injury ... • NSAIDs • ACE ... Intracellular Shift ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... • Trauma/Crush injury ... • NSAIDs • ACE ... Intracellular Shift ... #high #nephrology
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
ongoing rhabo, crush injury ... cardiac membrane Shift ... treatment Remove potassium ... offending agent (ACE-I ... #Management