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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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
In 2018, opioid withdrawal should be considered a buprenorphine deficiency. Otherwise, a multitude of comparatively ineffective
comparatively ineffective treatments ... #Management #Pharmacology ... #Pain #NonOpioid
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
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
Complex Regional Pain Syndrome (CRPS) - Treatment
Non-Pharmacologic:
 β€’ Education
 β€’ Physical & occupational therapy
 β€’ Psychology
Complex Regional Pain ... Syndrome (CRPS) - Treatment ... Non-Pharmacologic ... Complex #Regional #Pain ... #Syndrome #Treatment
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... if uncontrolled pain ... consider empiric treatment ... sleeping, administer pharmacologic ... Checklist #Management #Treatment
Cyclic Vomiting Syndrome - Treatment
Acute Treatment:
 β€’ Abortive Therapy: Sumatriptan (5-HT / serotonin agonist), Aprepitant (neurokinin
Vomiting Syndrome - Treatment ... Acute Treatment ... ondansetron), Pain ... ketorolac) Chronic Treatment ... : β€’ Non-Pharmacologic
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
- Maintenance Treatment ... if also chronic pain ... if neuropathic pain ... family, opioid treatment ... #management #pharmacology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 β€’ Patients presenting with progressive dysphagia
heart burn, chest pain ... contractions Definitive Treatment ... POEM Symptomatic Treatment ... Botulinum toxin β€’ Pharmacologic ... gastroenterology #Treatemtn
Pharmacologic Treatment of Hyperthyroidism

#Hyperthyroidism #Treatment #Management #Pharmacology #Medications #Comparison #Table #Endocrinology #AAFP #Propylthiouracil #Methimazole
Pharmacologic Treatment ... Hyperthyroidism #Treatment ... #Management #Pharmacology
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