1050 results
Delirium Do's And Don'ts  Guideline

These are my delirium do’s and don’ts which I tweeted earlier,
Delirium Do's And ... are my delirium do ... Geriatrics #Delirium #Dos
Rheumatologic Review of Systems (ROS): 
•	Fevers
•	Rashes/photosensitivity
•	Alopecia
•	Nail/nailfold abnormalities
•	Sicca symptoms
•	Conjunctivitis
•	Uveitis
•	Episcleritis
•	Scleritis
•	Raynaud's
•	Oral/genital ulcers
•	Polychondritis
•	Enthesitis
•	Serositis sx
•	Thomboses
•	Neuropathy
•	Pregnancy loss.

#Rheumatologic #rheumatology #ROS #ReviewOfSystems #diagnosis #history
Review of Systems (ROS ... #rheumatology #ROS
Approach to Platypnea-Orthodeoxia Syndrome 
Platypnea: dyspnea when sitting or standing
Orthodeoxia: sPO2 drops > 5% in upright
lying position #POS
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology
Imaging Findings:
 • Os trigonum which has marrow
Ankle Impingement (Os ... Imaging Findings: • Os ... adjacent to the os ... Stieda process, os ... #Impingement #Os
Metformin 
Current Renal Dose Adjustments due to Risk of Lactic Acidosis 
> 60 No adjustment 
45-60
Current Renal Dose ... , consider 50% dose ... decrease, Do not ... Renal #Dosing #Dose
Therapeutic Drug Level Monitoring 
Carbamazepine - Sample immediately before next dose (trough) 
Clozapine - Sample immediately
immediately before next dose ... -24 hours post dose ... 12 hours post dose ... 12 hours post dose ... : 30 mins post dose
Asthma Maintenance Therapy - Stepwise Approach 

Low dose ICS 
-> Low dose ICS/LABA or Med/High dose
Approach Low dose ... ICS -> Low dose ... LABA or Med/High dose ... ICS -> Med dose ... LABA -> High dose
Metformin - First Line Treatment for Diabetes Type 2
• Start with initial dose of 500 mg
Start with initial dose ... daily • Adjust dose ... Increase dose gradually ... using highest dose
Apixaban Dose Adjustments in Atrial Fibrillation - ABCDs

Age > 80 years 
Body Weight <60kg 
Creatinine >=
Apixaban Dose Adjustments ... present) -> Decrease dose ... #Apixaban #Dose
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
2) START LOW DOSE ... Begin with a first dose ... - If the first dose ... take a second 4mg dose ... well on a total dose