Dr. Gerald Diaz @GeraldMD
50.3M 14.4K 7.6K
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
Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
(eye moving up intorts ... , eye moving down ... direction; the eye moving ... intorts, and the eye moving ... ophthalmology #clinical
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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 ... #Video #PhysicalExam
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Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
 β€’ Arrows identifying the characteristic edema-like signal
signal about the closing ... emanates from the closing ... β€’ DOES NOT require ... Edema #lesion #clinical ... #mri #clinical
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
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
other potential causes ... optic nerve with crowding ... of the nerves coming ... Ophthalmicus #HZO #clinical ... #video #ophthalmology
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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