6 results
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
• If endorsing withdrawal ... Use Treatment (SHOUT ... ) #Methadone #Initiation ... #Algorithm #Treatment ... Management #Addiction #Opiate
A 70-year-old woman attends a check-up with a family doctor. As a background, he has a
the Trousseau sign ... which allows easy initiation ... skeletal muscles to cause ... #Trousseau #Sign ... #PhysicalExam
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
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation ... q 6 hours PRN nausea ... Use Treatment (SHOUT ... Buprenorphine #Initiation ... Management #Addiction #Opiate
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
Local causes include ... Systemic causes ... Nail #Diseases #Abnormal ... Diagnosis #Clinical #Signs ... #PhysicalExam #
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
localizes, flexion withdrawal ... , abnormal flexor ... • Examine for signs ... Casey Albin MD @ ... caseyalbin #PhysicalExam