103 results
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
Fibrillation - Diagnosis, Causes ... Presentations Causes ... episode - EtOH withdrawal ... AFib #Diagnosis #Causes ... PIRATES #Emergency #Cardiology
OPIOID SWITCHING AND TAPERING.

Long term opioid use results in physical (and potentially psychological) dependence. Opioids should
taper to avoid withdrawal ... Opioid withdrawal ... insomnia, muscle pain ... sweating, anxiety, nausea ... protocol #opioid #pain
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... Tamponade Pulmonary Causes ... Pneumothorax Other Causes ... Differential #Diagnosis #Causes ... #Cardiology
Sinus Tachycardia - Differential Diagnosis Framework
Autonomic System:
 • Excess Stimulation: Nicotine, Caffeine, Sympathomimetics, Anticholinergics
 • Withdrawal:
Anticholinergics • Withdrawal ... Other: Fever, Pain ... Differential #Diagnosis #cardiology
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
algorithm for alcohol withdrawal ... addition to alcohol withdrawal ... Alternative causes ... useful initially to gain ... Alcohol #EtOH #Withdrawal
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
Causes of Palpitations ... THERAPEUTIC DRUG WITHDRAWAL ... #Palpitations #Causes ... Differential #Diagnosis #Cardiology
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
In these cases, ... has completely withdrawn ... experience precipitated withdrawal ... side effects are nausea ... Buprenorphine #Comparison #Pain
Serotonin-Norepinephrine Reuptake Inhibitors(SNRIs): Mechanisms and Side Effects

Withdrawal: Dizziness, Diarrhea, Insomnia, Nausea, Vomiting
Serotonin Syndrome - Potentially Life
Side Effects Withdrawal ... Diarrhea, Insomnia, Nausea ... Dysfunction, Weight gain ... Incr NE: Nausea
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Bone/Joint Causes ... Hematoma Venous Causes ... Edema Arterial Causes ... aneurysms Nerve Causes ... extremity #msk #physicalexam
Pelvis Insufficiency fractures
 - Back pain consistently one of the top three most common ER chief
fractures - Back pain ... a major pelvic cause ... of low back pain ... Typically occult on plain ... Pelvic #diagnosis #radiology