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ED Opioid Stewardship Algorithm Opioid Naive vs Opioid Tolerant 1. Patient Specific, Pain Syndrome-Targeted Approach 2. Combinations of Non-Pharmacologic
Opioid Analgesia (OA ... Stewardship #Algorithm #Management
Osteoarthritis (OA): X-ray features - Joint space narrowing (least specific) - Subchondral Cysts (pockets of
Osteoarthritis (OA ... Osteoarthritis #OA
Osteoarthritis (OA): Clinical findings • Stimulation of joint nociceptors in subchondral bone -> Pain with loading
Osteoarthritis (OA ... Osteoarthritis #OA
Arthrocentesis - Joint Fluid Analysis Effusion Characteristics (Color, Clarity, WCC, PMN, Crystals, Bacteria) by Disease Process: OA,
Disease Process: OA
Approach to Joint Pain - Diagnostic Framework 1) Chronicity 2) Inflammatory vs Non-Inflammatory 3) Number of Joints Involved 1) Chronicity:
spondyloarthropathies, lupus, OA ... or pseudogout, OA ... • Non-bloody: OA ... gonorrhea, Lyme, OA
Monoarthritis - Differential Diagnosis Infection (Acute): - S. aureus (most common) - S. pneumonia - Salmonella (in
Sarcoid - Erosive OA
Joint Disorders - Differential Diagnosis Algorithm Monoarthritis • Septic • Crystalline - Gout
Osteoarthritis (OA
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD) Pathophysiology: Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Osteoarthritis With CPPD OA ... Rheumatology #diagnosis #management
Pain Assessment and Management Initiative (PAMI) - Pain Management and Dosing Guide #Management #Pain #Pharmacology #Doses #Dosing
Assessment and Management ... (PAMI) - Pain Management ... Dosing Guide #Management
Acute Kidney Injury - Differential Diagnosis Framework PRERENAL: - Intrarenal vasoconstriction-hemodynamically mediated - Systemic vasodilation - Volume
urinalysis, labs - Management ... renal biopsy - Management ... ultrasonography - Manaqement
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