5 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
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
Hospital Opioid Use Treatment ... (SHOUT) #Methadone ... #Initiation #Algorithm ... #Treatment #Management ... #Addiction #Opiate
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
attributed to opiate ... Hospital Opioid Use Treatment ... (SHOUT) #COWS ... #Opiate #Withdrawal ... Score #Diagnosis #Addiction
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
see image), in addition ... to signs of malnutrition ... plate appear white ... 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 ... Hospital Opioid Use Treatment ... (SHOUT) #Buprenorphine ... #Treatment #Management ... #Addiction #Opiate