Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Pacemaker Coding Terminology
#Diagnosis #Cardiology #PPM #Pacemaker #LetterCode #Coding #Classification #Table #CoreEM
Pacemaker Coding ... Terminology #Diagnosis ... PPM #Pacemaker #LetterCode ... #Coding #Classification ... #Table #CoreEM
The first three letters refer to chamber paced, chamber sensed, and response to sensed events. The
PPM #Pacemaker #LetterCode ... #Coding #Classification ... #Table
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... Management of acute opiate ... If patient is stable ... Buprenorphine Dosing ... chronic pain split dosing
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... - Differential Diagnosis ... Algorithm Transudate ... syndrome β€’ Protein-losing ... #causes
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 β€’ Portal vein thrombosis
 β€’ Splenic
Causes of Ascites ... - Differential Diagnosis ... Algorithm Portal ... Malnutrition β€’ Protein-losing ... #causes
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
BP stable, HR 115 ... settings with crowding ... The table below ... LBRF can be diagnosed ... can be used for diagnosis
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
dengue severity classification ... Nausea/ vomiting ... include any child coming ... fever #severity #classification ... #diagnosis
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
Guidelines for Crises ... β€’ Consider moving ... until patient is stable ... Guidelines for crises ... Intraoperative #Checklist #Diagnosis
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
still, but is able ... attributed to opiate ... last Β½ hour β€’ 2 - nausea ... SHOUT) #COWS #Opiate ... Buprenorphine #Score #Diagnosis
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation Algorithm ... q 6 hours PRN nausea ... to follow day 1 algorithm ... hold additional dosing ... Management #Addiction #Opiate