11 results
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
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 has completely withdrawn ...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
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
Orbicularis Reflex in an Alzheimer's Patient on Physical Exam

Alzheimer's is a degenerative, progressive and irreversible disease.
time, and can cause ... delusions and, in some cases ... #Orbicularis #Snout ... #Pout #Reflex #PhysicalExam
Snout (Pout) Reflex on Physical Exam
The Snout reflex or a "Pout" is a pouting or pursing
Snout (Pout) Reflex ... Physical Exam The Snout ... of the muscles causes ... to resemble a snout ... #Pout #Reflex #PhysicalExam
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
to the nail plate ... Local causes include ... Systemic causes ... caused by defective ... Clinical #Signs #PhysicalExam
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
the nails can be caused ... arrest in nail plate ... paired white lines caused ... Ridges #Clinical #PhysicalExam
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
for symptoms of withdrawal ... q 6 hours PRN nausea ... return of cravings/withdrawal ... Use Treatment (SHOUT ... Management #Addiction #Opiate