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CERTA Analgesic Classes and Pain Indications

Dr. David H.Cisewski and Dr. Sergey M.Motov

#CERTA #Analgesic #Classes #Pain #Indications
CERTA Analgesic Classes ... and Pain Indications ... CERTA #Analgesic #Classes ... #Pain #Indications ... #Management #Table
"I MD SOAPS" Infectious Diseases Exposure History

I - Immunization - Vaccination status (age-appropriate, comorbidities, travel, etc)
M
) M - Medication ... ; drug exposure ... , prophylactic medications ... specific food (e.g ... Current or previous work
A toxidrome is a syndrome (set of symptoms) caused by specific medications or toxins.

There are 5
set of symptoms) caused ... by specific medications ... hydromorphone, etc ... barbituates, “Z-drugs ... Toxidromes #Comparison #Table
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Drug Induced Liver ... exposure to HDS, drugs ... duration), Several medications ... , Hidden OTC and ... for alternative causes
Hydroxychloroquine is an antimalarial & DMARD (disease modifying antirheumatic drug). It is currently being discussed as
tinnitus) and may cause ... It also can cause ... vomiting; abdominal pain ... hypoglycemia), QTc ... who require this medication
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Malignancy (e.g ... exacerbation) - Drugs ... SSRIs) Severe pain ... Differential #Diagnosis #Table ... #Causes #Sodium
Causes of Constipation - Differential Diagnosis Framework
 • Motility: Diet, IBS-C, Colonic inertia, Pelvic floor disorders,
Causes of Constipation ... compression • Drugs ... Calcium supplements, etc ... disease, Anal pain ... (e.g. fissure),
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
draw • Severe pain ... depletion - Medication ... Alcohol blackout - Medication ... Classification #Table ... #Causes
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Causes of Excessive ... Shift Work) Sleep ... Anxiety Other • Medications ... Antipsychotics) • Drug ... Diagnosis #Algorithm #Causes
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Testing Algorithm INDICATIONS ... evaluation or workup ... 1,500 cells/µL Workup ... asthma, allergy, drug ... signs or symptoms (eg