8 results
Alternaria on Culture Plate and Microscopy
Adult w/ aplastic anemia, getting regular blood product infusions. Had Group
Alternaria on Culture ... Plate and Microscopy ... One plate grew a ... fungi (that can cause ... #Microscopy #clinical
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... In these cases, ... Use Treatment (SHOUT ... Comparison #Pain #Management ... #UseDisorder #Addiction
Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
abdominal pain, nausea ... risk for using opiates ... #UseDisorder #Management ... Therapies #Screening #Addiction
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
• Most common cause ... media • Important cause ... sinus • Sputum culture ... • Macrolide (addition ... microbiology #diagnosis #management
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
Use Treatment (SHOUT ... Algorithm #Treatment #Management ... #Addiction #Opiate
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
attributed to opiate ... last ½ hour • 2 - nausea ... Use Treatment (SHOUT ... ) #COWS #Opiate ... Score #Diagnosis #Addiction
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
q 6 hours PRN nausea ... Use Treatment (SHOUT ... Algorithm #Treatment #Management ... #Addiction #Opiate
Pectoralis Major Rupture Injury during Bench Press Exercise
CLINICAL: a rare injury patterns with typical sudden "tear/pop"
Pectoralis Major Rupture ... Severe weakness in adduction ... Inferior to operative management ... with isokinetic adduction ... majority of these cases