Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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
Alternatives to ... opioids for pain ... Pain pathways by ... #Management #Pharmacology ... Pathways #Table #MSK #Migraine
Acute Treatment of Migraine
Mild Attacks: NSAIDs, Simple Analgesics
Moderate/Severe Attacks: Triptans, Ditans, Gepants, Ergots
Non-pharmacologic Treatment: Neuromodulation, Rest,
of Migraine Mild ... Gepants, Ergots Non-pharmacologic ... , Rest, Hydration ... neudrawlogy #Migraine ... #management #neurology
Migraine - Preventative Treatments

 โ€ข Anticonvulsants: *Topiramate, *Sodium valproate, Gabapentin, Pregabalin
 โ€ข Antidepressants: Amitriptyline, Venlafaxine, Duloxetine,
Migraine - Preventative ... Treatments ... neudrawlogy #Migraine ... prophylaxis #prevention #pharmacology ... #neurology
Migraine Treatment Overview

 โ€ข What is a Migraine?
 โ€ข Pathophysiology
 โ€ข Common Migraine Triggers
 โ€ข Diagnosis
Migraine Treatment ... โ€ข What is a Migraine ... Prophylactic Treatment ... #pharmacology # ... prophylaxis #neurology
In 2018, opioid withdrawal should be considered a buprenorphine deficiency. Otherwise, a multitude of comparatively ineffective
comparatively ineffective treatments ... #Management #Pharmacology ... #Pain #NonOpioid ... #Alternatives #
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 โ€ข Rest angina attributed to coronary artery vasospasm.
 โ€ข Patients often
disorders (Raynaud, migraine ... anginal chest pain ... tolerance โ€ข Pain ... perform provocative tests ... in cath lab Treatment
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Systemic N - Neurologic ... Headache Sx change Migraine ... Patient Prefers to Rest ... Eye/Temple โ€ข Pain ... quickly, deep pain
Vancomycin Associated Acute Kidney Injury

 โ€ข Drug induced acute kidney injury is generally defined as a
โ€ข Treatment includes ... transitioning to alternative ... Vancomycin #AKI #pharmacology ... diagnosis #management #nephrology
Aimovig (Erenumab)
Mechanism: Calcitonin Gene-related Peptide Receptor Antagonist 
Indication: Preventive Treatment of Migraines:
Dosing: 70 mg SQ monthly,
Indication: Preventive Treatment ... of Migraines: ... monthly to prevent migraines ... Aimovig #Erenumab #Migraine ... #Neurology #Pharmacology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... claudication: pain ... chews, not just pain ... the โ€œChewing gum test ... Treatment of GCA