3350 results
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
runner presents to clinic ... expiration not meeting diagnostic ... ventricular septal shift ... Echocardiogram #a4c #pocus #clinical ... #cardiology
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
the pacemaker shifts ... Sinus #Arrhythmia #cardiology ... #diagnosis #ekg ... electrocardiogram #variants #clinical
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
the pacemaker shifts ... Sinus #Arrhythmia #cardiology ... #diagnosis #ekg ... electrocardiogram #variants #clinical
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
- Differential Diagnosis ... Transcellular Shift ... Transcellular shifts ... #Differential #Diagnosis
Oxyhemoglobin Dissociation Curve 

Left Shift - decreased unloading of O2 at tissue level (i.e.  increased
Curve Left Shift ... Hypophosphatæmia Right Shift ... #Left #Right #Shift ... Differential #Causes #Diagnosis
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
- Differential Diagnosis ... Transcellular Shift ... #Differential #Diagnosis
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 ... Injury #ACLTear #clinical
Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,
Lateral pivot shift ... #Diagnosis #Sports
Spiral fracture of the distal tibial shaft with 90 degrees of lateral angulation (so the lateral
distal tibial shaft ... proximal fibular shaft ... #ortho #xray #radiology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
- Differential Diagnosis ... Transcellular Shift ... #Differential #Diagnosis