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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CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... If patient is stable ... Buprenorphine Dosing ... chronic pain split dosing ... Buprenorphine #Treatment #Algorithm
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 β€’ Mechanism: Preferentially captures K in exchange for
and sodium β€’ Dosing ... 10 g QD (adjust dose ... binds magnesium β€’ Dosing ... and calcium β€’ Dosing ... #pharmacology #table
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 β€’ Natural phytochemical from turmeric
 β€’ 2g/day divided in 2-3
Colitis - Management Algorithm ... divided in 2-3 doses ... Nissle β€’ VSL#3: ↑ clinical ... with long-term dosing ... consider decreased dosing
Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
 β€’ Arrows identifying the characteristic edema-like signal
FOPE lesion) - MSK ... signal about the closing ... emanates from the closing ... β€’ DOES NOT require ... #mri #clinical
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Buprenorphine - Comparison Table ... In these cases, ... Dosing usually begins ... formulation, the dose ... side effects are nausea
Positive Varus Stress Test in LCL Injury

Interesting knee injury in a young basketball player who landed
landed awkwardly coming ... injury, we are able ... Injury #Positive #Clinical ... collateral #ligament #msk
β–Ί
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
BP stable, HR 115 ... settings with crowding ... The table below ... treated in a single dose ... microscopy #pathology #clinical
Cortical Desmoid - MSK Radiology
Imaging Findings:
 β€’ Circumscribed, small cortically based Tl -hypointense and T 2-hyperintense
Cortical Desmoid - MSK ... Case description ... misnomer as this does ... #mri #clinical ... Radiology #diagnosis #msk
IDSA - Clinical Strategy to Build an Individualized Treatment Regimen for Multi-Drug Resistant Tuberculosis (MDR-TB)
 β€’
IDSA - Clinical ... Build a regimen using ... , the source case ... p-Aminosalicylic acid, High-dose ... #pharmacology #dosing
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
particularly those coming ... Diagnosis = clinical ... broad category and does ... identifies 85 to 95% of cases