7 results
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
can be caused by ... are a typical sign ... plate production ... Ridges #Clinical #PhysicalExam ... #Photo
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
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... phenobarbital fails ... suggests that the patient ... another problem in addition ... Alternative causes
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
Use Treatment (SHOUT ... Methadone #Initiation #Algorithm ... Treatment #Management #Addiction ... #Opiate #Start ... #Prescribing #Inpatient
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
attributed to opiate ... last ½ hour • 2 - nausea ... Use Treatment (SHOUT ... ) #COWS #Opiate ... Score #Diagnosis #Addiction
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
Patient of about ... see image), in addition ... to signs of malnutrition ... Fingernails #Hands #PhysicalExam ... #Clinical #Photo
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
q 6 hours PRN nausea ... Use Treatment (SHOUT ... Treatment #Management #Addiction ... #Opiate #Start ... #Prescribing #Inpatient
The Neurological Evaluation of a Comatose Patient

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