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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Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient
to opioids for pain ... Pain pathways by ... #Management #Pharmacology ... Pathways #Table #MSK
Neuromodulators for Disorders of Gut Brain Interactions (DGBIs)
SSRIs - When anxiety, depression, and phobic features are
TCAs - First-line treatment ... when pain is dominant ... sleep SNRls - Treatment ... when pain in dominant ... Neuromodulators #DGBIs #IBS #pharmacology
CERTA Opioid Alternatives

Opioid Alternatives for Abdominal Pain (traumatic, non-traumatic), Back Pain, Burns, Renal Colic, Dental Pain,
for Abdominal Pain ... Colic, Dental Pain ... , Headache, MSK ... Pain, Neuropathic ... #Medications #Pharmacology
In 2018, opioid withdrawal should be considered a buprenorphine deficiency. Otherwise, a multitude of comparatively ineffective
comparatively ineffective treatments ... #Management #Pharmacology ... #Pain #NonOpioid
Flexor Tenosynovitis (FTS)

The clinical diagnosis of FTS is made using Kanavel’s Signs:
 - Fusiform swelling.
 -
The clinical diagnosis ... - Pain with passive ... Criteria #Sign #Hand #MSK ... #Diagnosis
Dengue Fever - Diagnosis and Management Summary 
Dengue Fever β†’ Dengue Hemorrhagic Fever β†’Dengue Hemorrhagic Shock
Dengue Fever - Diagnosis ... Headache, Retroocular pain ... test, Abdominal pain ... , Myalgia Diagnosis ... 7 days (Ig)M Treatment
Causes of Low Back Pain - Differential Diagnosis
Intrinsic Spine: Lumbar strain, Herniated nucleus pulposus, Compression fracture,
Causes of Low Back Pain ... - Differential Diagnosis ... #Differential #Diagnosis ... #primarycare #msk
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Patient Specific, Pain ... Combinations of Non-Pharmacologic ... Medication Assisted Treatment ... Algorithm #Management #Pain
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology
Imaging Findings:
 β€’ Os trigonum which has marrow
Trigonum) Syndrome - MSK ... localized severe pain ... longus Differential diagnosis ... clinical #Radiology #diagnosis ... #msk
Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
Pearls for Treatment ... include abdominal pain ... UseDisorder #Management #Treatment ... #Medications #Pharmacology