51 results
SSRI Initiation
How long before increasing dose?
 • 4 wks. Initial response in 2-4 wks, max response
SSRI Initiation ... transient Gl upset (nausea ... Paroxetine: Weight gain ... BrighamChiefs #SSRI #Initiation
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
Remote Symptomatic Cause ... Remote Symptomatic Cause ... Drugs #Seizure #FirstTime ... #Initiation #start
Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case
Chest pain, good ... WMAs support your case ... Clinical #Diagnosis #POCUS
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Duct Stone on POCUS ... Here’s a similar case ... cholecystectomy, new RUQ pain ... This time on pocus ... Choledocholithiasis #POCUS
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
arrived w/severe abd pain ... relapsing fever caused ... TBRF is caused by ... headache and abd pain ... hypotension following initiation
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
duodenal ulcer on RUQ POCUS ... RUQ abdominal pain ... as shown in the case ... worry about rare case ... duodenal #ulcer #RUQ #POCUS
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
claudication: pain ... chews, not just pain ... identifies 85 to 95% of cases ... a month after initiating ... ’t worry about initiating
Ruptured Ovarian Cyst on Pelvic Ultrasound

22 year old female w/ acute onset RLQ pain & TTP
acute onset RLQ pain ... though (just in case ... gynecology #obgyn #POCUS
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
Nausea/ vomiting ... retro-orbital pain ... Leukopenia • Cases ... and no apparent focus ... Intense abdominal pain
Male Sexual and Erectile Dysfunction - Differential Diagnosis Algorithm
Erectile Dysfunction
 - Psychological
    •
Sensate • Focus ... • Chronic Pain ... endocrinology #causes