161 results
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
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
Acute Joint Pain - Vitamin CD Mnemonic
Vascular
Infectious
Trauma - Multiple injury sites, Open Fracture, Infectious joint pain
Autoimmune
Acute Joint Pain ... Infectious joint pain ... inflammatory joint pain ... Mnemonic #MSK #Orthopedics ... differential #diagnosis #Causes
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
lateral joint line pain ... clinical #video #physicalexam ... #msk #orthopedics
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 has completely withdrawn ...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
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... Pain in Sickle ... Vaso-occlusive pain ... predispose to other orthopedic ... differential #diagnosis #causes
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
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
Pain in the sciatic ... clinical #video #physicalexam ... #msk #sports #orthopedics
Clarke's Test (Patellar Grind Test)

Indicates Patellofemoral dysfunction.
 - Patient with knee in extension. Push posterior on
Positive sign: Pain ... clinical #video #physicalexam ... Patellofemoral #msk #orthopedics