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diagnosis addiction buprenorphine clinical management opioid abnormal fingernails initiation inpatient neurology prescribing start treatment abnormalities assessment atlas beaus beauslines breathing
Buprenorphine Algorithm for Uncomplicated Opioid Withdrawal - ACEP Opioids Clinical Policy Assess Withdrawal Severity - Objective signs
Buprenorphine Algorithm ... Severity - Objective signs ... and Clinical Opiate ... Withdrawal Scale ... Buprenorphine #Algorithm
Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
Diagnosis Framework Causes ... Brainstem herniation (Comatose ... - Medications: Opiate ... withdrawal, Antipsychotic ... - Medications: Opiates
Quick Guide: Methadone Starts in the Hospital Day 1: max daily dose 40 mg methadone First dose • Check
• If endorsing withdrawal ... • If endorsing withdrawal ... Use Treatment (SHOUT ... Methadone #Initiation #Algorithm ... 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 ... Gastrointestinal distress (nausea ... #Opiate #Pathophysiology ... #Diagnosis #Signs
Snout (Pout) Reflex on Physical Exam The Snout reflex or a "Pout" is a pouting or pursing
Snout (Pout) Reflex ... Physical Exam The Snout ... of the muscles causes ... present, is a sign ... #Pout #Reflex #PhysicalExam
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 Abnormalities in Rate and Rhythm of Breathing Normal The respiratory rate is about 14—20 per min
has a number of causes ... In the comatose ... punctuated by frequent sighs ... Occasional sighs ... Abnormal #Diagnosis #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
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Evaluation of a Comatose ... localizes, flexion withdrawal ... • Examine for signs ... Casey Albin MD @ ... caseyalbin #PhysicalExam
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
the nails can be caused ... are a typical sign ... arrest in nail plate ... paired white lines caused ... Ridges #Clinical #PhysicalExam
Nail Pathologies - Findings in or Near Nails Paronychia A superficial infection of the proximal and lateral
Local causes include ... Systemic causes ... caused by defective ... Diagnosis #Clinical #Signs ... #PhysicalExam #
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