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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8 results
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
arrived w/severe abd pain ... the body louse, causes ... Northeast Africa with cases ... Several cases have ... The table below
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
If patient is stable ... Buprenorphine Dosing ... co-exisiting chronic pain ... split dosing TID ... #Addiction #Prescribing
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Buprenorphine - Comparison Table ... In these cases, ... Dosing usually begins ... Buprenorphine #Comparison #Pain ... #UseDisorder #Addiction
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
- SEE UPDATED ALGORITHM ... another problem in addition ... Alternative causes ... useful initially to gain ... center that is using
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Webber Ankle Injury Classification

A: In a Supination-Adduction injury the fibula breaks first, with a fracture below
Webber Ankle Injury Classification ... In a Supination-Adduction ... In more severe cases ... is not seen on plain ... appear to be a stable
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
dengue severity classification ... retro-orbital pain ... Leukopenia β€’ Cases ... include any child coming ... Intense abdominal pain
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
particularly those coming ... : On one hand, classic ... claudication: pain ... identifies 85 to 95% of cases ... (Cornelia NEJM
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 ... Treatment #Management #Addiction