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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Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Table Some patients ... In these cases, ... Dosing usually begins ... formulation, the dose ... #Pain #Management
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... If patient is stable ... Buprenorphine Dosing ... co-exisiting chronic pain ... split dosing TID
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 β€’ Mechanism: Preferentially captures K in exchange for
and sodium β€’ Dosing ... binds magnesium β€’ Dosing ... and calcium β€’ Dosing ... #pharmacology #table ... #comparison #binders
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
arrived w/severe abd pain ... the body louse, causes ... Northeast Africa with cases ... Several cases have ... treated in a single dose
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 ... adolescent knee pain ... β€’ DOES NOT require ... normal in these cases
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
dengue severity classification ... retro-orbital pain ... Leukopenia β€’ Cases ... include any child coming ... Intense abdominal pain
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation Algorithm ... q 6 hours PRN nausea ... to follow day 1 algorithm ... hold additional dosing ... Buprenorphine #Initiation #Algorithm
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
particularly those coming ... : On one hand, classic ... claudication: pain ... chews, not just pain ... identifies 85 to 95% of cases