78 results
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
unilateral flank pain ... nephrolithiasis • Symptoms ... proteinuria, RBC casts ... → Refer to Nephrology ... if cause not identified
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Patient Specific, Pain ... Combinations of Non-Pharmacologic ... Medication Assisted Treatment ... Sergey Motov @painfreeED ... Algorithm #Management #Pain
Neuromodulators for Disorders of Gut Brain Interactions (DGBIs)
SSRIs - When anxiety, depression, and phobic features are
TCAs - First-line treatment ... when pain is dominant ... early satiety nausea ... when pain in dominant ... Neuromodulators #DGBIs #IBS #pharmacology
OPIOID SWITCHING AND TAPERING.

Long term opioid use results in physical (and potentially psychological) dependence. Opioids should
avoid withdrawal symptoms ... Opioid withdrawal symptoms ... insomnia, muscle pain ... sweating, anxiety, nausea ... tapering #switching #pharmacology
Tolosa-Hunt Syndrome
What?
 • Unilateral orbital/retrobulbar pain
 • Paresis of the cranial nerves Ill, IV, VI
 •
orbital/retrobulbar pain ... or orbit (MRI) Treatment ... resolution of the symptoms ... Syndrome #TolosaHunt #neurology
Serotonin-Norepinephrine Reuptake Inhibitors(SNRIs): Mechanisms and Side Effects

Withdrawal: Dizziness, Diarrhea, Insomnia, Nausea, Vomiting
Serotonin Syndrome - Potentially Life
Diarrhea, Insomnia, Nausea ... Dysfunction, Weight gain ... Incr NE: Nausea ... Pathophysiology #Pharmacology ... Diagnosis #Signs #Symptoms
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear

Visual or auditory symptoms in conjunction
Visual or auditory symptoms ... conjunction with symptoms ... diagnosis and treatment ... Inflammatory causes ... BEE #Syndromes #neurology
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
wasting, radicular pain ... dysfunction, back pain ... Worsening of previous neurologic ... • Caused by immune ... differential #TB #neurology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Management Summary Causes ... : • Triad of symptoms ... : - Muscle pain ... - Abdominal pain ... #treatment #nephrology
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 • Use a positive diagnostic strategy with
Recurrent abdominal pain ... last 3 months + symptom ... for diagnosis Treatment ... Rifaximin- up to 3 courses ... gastroenterology #treatment