52 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 ... dr.dold.md #Pivot #Shift ... ACLTear #clinical #video ... #PhysicalExam #
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
of Drug-Induced Hyperkalemia ... • Increased EC shift ... • Exogenous (KCL ... MunerMohamed1 #hyperkalemia ... #differential #diagnosis
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Causes of Hypokalemia ... - Differential Diagnosis ... that is leaky all ... (transcellular shift ... #Differential #Diagnosis
Hyperuricemia - Differential Diagnosis Algorithm
Primary - Over-production
     • Increased turnover of nucleotides
Primary
- Differential Diagnosis ... Drug-induced • High ... Sarcoidosis • Hypercalcemia ... #Differential #Diagnosis ... #Algorithm #endocrinology
Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,
include the Lachman (ACL ... anterior drawer (ACL ... Lateral pivot shift ... #Diagnosis #Sports ... #Knee #PhysicalExam
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... Al, High R - Secondary ... Gitelman's syndrome #Hypokalemia ... #Differential #Diagnosis
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Diagnosis Framework ... phlebotomy High ... • NSAIDs • ACE ... Intracellular Shift ... causes #potassium #high
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Hypercalcemia - ... Differential Diagnosis ... Elevated PTH (High ... #Differential #Diagnosis ... Algorithm #causes #endocrinology
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Hypercalcemia Evaluation ... PTH - Frankly high ... Vit D • If all ... #differential #diagnosis ... #endocrinology
Causes of Hypercalcemia
Hypercalcemia due to increased bone Ca2+ resorption:
 • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
Causes of Hypercalcemia ... Hypercalcemia ... #differential #diagnosis ... #calcium #high ... #endocrinology