15 results
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
Fibrillation - Diagnosis, Causes ... Presentations Causes ... 1st episode - EtOH ... withdrawal ("holiday ... AFib #Diagnosis #Causes
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
Scleroderma renal crises ... Drug (-): • ETOH ... withdrawal • ... Opioid withdrawal ... Differential #Diagnosis #causes
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
Diagnosis Framework Causes ... - Medications: Opiate ... withdrawal, Antipsychotic ... Hypothermia Causes ... - Medications: Opiates
Alcohol Use Disorder: Pathogenesis and Clinical Findings

 • Tolerance (reduced sensitivity to effects of EtOH)
 •
to effects of EtOH ... exacerbated by EtOH ... desire to use EtOH ... • Withdrawal ... , tachycardia, nausea
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
algorithm for alcohol withdrawal ... addition to alcohol withdrawal ... Alternative causes ... Management #Alcohol #EtOH ... #Withdrawal #Phenobarbital
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
In these cases, ... has completely withdrawn ... experience precipitated withdrawal ... side effects are nausea ... Use Treatment (SHOUT
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
• If endorsing withdrawal ... • If endorsing withdrawal ... • If endorsing withdrawal ... Use Treatment (SHOUT ... Management #Addiction #Opiate
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Sx, Sensitivity ETOH ... Carbon monoxide, ETOH ... Histamine, Substance Withdrawal ... #differential #causes
Opioid Withdrawal: Clinical Findings and Complications
Note: Opioid withdrawal can be extremely uncomfortable, but is rarely life-threatening
Opioid Withdrawal ... Note: Opioid withdrawal ... combined with withdrawal ... Gastrointestinal distress (nausea ... #Opiate #Pathophysiology
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid Withdrawal ... attributed to opiate ... last ½ hour • 2 - nausea ... Use Treatment (SHOUT ... ) #COWS #Opiate