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diagnosis differential algorithm addiction management buprenorphine hypertension opioid headaches htn initiation inpatient methadone neurology prescribing primary start treatment antibiotic assessment
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
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Primary and Secondary ... Causes of Hypertension ... Uncontrolled • Drug Withdrawal ... Causes (5%) - Onset ... Diagnosis #Algorithm #causes
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Secondary Causes ... 3+) Consider secondary ... Alcohol abuse/ withdrawal ... Anatomic Causes ... Hypertension #HTN #Secondary
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... Testing Common causes ... hypokalemia and withdrawal ... drugs) Response to withdrawal ... Acromegaly #Secondary
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 has completely withdrawn ...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
Causes of Antibiotic Failure - Differential Diagnosis Framework Diagnosis: • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... pancreatitis), Drug withdrawal ... lungs) Mimics / Secondary ... Process: • Secondary ... Herxheimer rxn), Secondary
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
Nail Disorders secondary to Systemic Diseases Nail Fold Abnormality • SLE • Scleroderma • Dermatomyositis Koilonychia - Spoon-shaped
Nail Disorders secondary ... Onycholysis - Plate ... NailDisorders #Systemic #Secondary ... Diagnosis #Algorithm #causes
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