Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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management diagnosis addiction buprenorphine prescribing treatment antiepileptics cardiology cardiomyopathy drugs emergencies endoscopy firsttime hemeonc inpatient mnemonic neurology nonvariceal oncologic oncology
Buprenorphine Initiation for the Uninitiated 1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS - Precipitated withdrawal can be caused
Buprenorphine Initiation ... withdrawal can be caused ... guidance. 2) START ... following day, start ... for maintenance therapy
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure? SHINE Mnemonic: • first seizure occurred
Do you start Anti-Epileptic ... Drugs (AEDs) on ... Remote Symptomatic Cause ... Seizure #FirstTime #Initiation ... #start #Algorithm
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Avoid ARBs • ICD ... deteriorating on medical therapy ... investigative therapy ... teratogenic GDMT meds
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary Pre-Endoscopic Care: • Adequate resuscitation: Restrictive> Liberal strategy
Non-Variceal Upper GI Bleeding ... Infusion = 40mg IV BID ... armamentarium • Start ... Assessment and Therapy ... diagnosis #management #algorithm
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
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
+ ANC < 500 → start ... allopurinol 300 mg BID ... Simultaneous clotting and bleeding ... Treat underlying cause ... (~25 %) during therapy
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