10 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 ... Management #Addiction #Opiate ... #Prescribing #Inpatient
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
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
In the comatose patient ... punctuated by frequent sighs ... Occasional sighs ... Abnormalities #Abnormal ... #Diagnosis #PhysicalExam
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Differential Diagnosis Algorithm ... Thrombocytopenia - Abnormal ... deficiency - Abnormal ... #physicalexam
Orbicularis Reflex in an Alzheimer's Patient on Physical Exam

Alzheimer's is a degenerative, progressive and irreversible disease.
an Alzheimer's Patient ... time, and can cause ... examination is usually normal ... #Orbicularis #Snout ... #Pout #Reflex #PhysicalExam
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
Hoffman's sign. ... this specific case ... finger. 2) Ask the patient ... Reflex #Positive #Abnormal ... video #neurology #PhysicalExam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
etiology of coma Abnormal ... localizes, flexion withdrawal ... • Examine for signs ... Casey Albin MD @ ... caseyalbin #PhysicalExam
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 #
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 ... Use Treatment (SHOUT ... Management #Addiction #Opiate ... #Prescribing #Inpatient
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
Terry's Nails Patient ... in addition to signs ... two-thirds of the nail plate ... explained by an abnormal ... Fingernails #Hands #PhysicalExam