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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Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
Buprenorphine Initiation ... withdrawal can be caused ... withdrawal, begin initiation ... guidance. 2) START ... following day, start
Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis - Kupperman et al. NEJM 2018

https://www.nejm.org/doi/full/10.1056/NEJMoa1716816
Study
Infusion Rates for Pediatric ... over fluids and start ... out what does cause ... VisualAbstract #Peds ... #Pediatrics #DKA
Approach to Neonatal Jaundice

Causes of pathologic hyperbilirubinemia can be classified as due to (1) increased bilirubin
Neonatal Jaundice Causes ... #Diagnosis #Peds ... #Pediatrics #Neonatal ... #Jaundice #Algorithm
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 β€’ first seizure occurred
Do you start Anti-Epileptic ... Drugs (AEDs) on ... Remote Symptomatic Cause ... Seizure #FirstTime #Initiation ... #start #Algorithm
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY

RED FLAGS - In all cases there are specific
markers which
FLAGS - In all cases ... #Limping #NWB #Algorithm ... Pathway #Child #Peds ... #Pediatrics #Diagnosis
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation ... Algorithm Adjunctive ... meds: The following ... q 6 hours PRN nausea ... Buprenorphine #Initiation
Reflexes - Deep Tendon Reflexes on Newborn Physical Exam 
Testing deep tendon reflexes is an important
I usually start ... hypotonia and the cause ... clinical #video #peds ... #pediatrics
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