180 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
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
In these cases, ... has completely withdrawn ... opioids—roughly 5-7 day for short ... experience precipitated withdrawal ... Buprenorphine #Comparison #Pain
Childhood Immunization Schedule: Why we immunize
 • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
Tetanus Toxin -> Spores ... cause quadriplegia ... lymph -> Koplik's spots ... Maternal viremia causes ... jaundice and RUQ pain
Achilles Tendon Rupture in Slow Motion

Caused by high speed knee extension with ankle dorsiflexion.

Dr. Boris Gojanovic
Slow Motion Caused ... clinical #Video #Sports ... #Mechanism #PhysicalExam
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
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
Ear Pain (Otalgia ... Primary Otalgia - Pain ... from the ear - Pain ... - Intermittent pain ... vision or black spots
Thessaly Test for Knee Meniscal Tear

The test is positive if there is medial or lateral joint
lateral joint line pain ... clinical #video #physicalexam ... #orthopedics #sports
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
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
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