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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Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Start - Inpatient Initiation ... for Opioid Use Disorder ... Withdrawal Initial Dosing ... Hospital #Inpatient #Initiation ... opiate #opioid #algorithm
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Eosinophil Disorders ... Testing Algorithm ... uncovered incidentally during ... for secondary causes ... eosinophilia (common causes
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... treating opioid use disorder ... If patient is stable ... Buprenorphine Dosing ... chronic pain split dosing
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
of Opioid Use Disorder ... Buprenorphine - Comparison Table ... In these cases, ... Dosing usually begins ... side effects are nausea
Antiarrhythmics Pharmacology Summary
Cardiac Conduction Phases:
Phase 0 - Ventricular Depolarization:
 β€’ Na+ channels open leading to a
rapid Na+ influx initiating ... Transient K+ efflux moving ... depolarization occurs initiating ... Vaughan Williams Classification ... #Pharmacology #Classification
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
BP stable, HR 115 ... relapsing fever caused ... TBRF is caused by ... The table below ... hypotension following initiation
Post-Transplantation Lymphoproliferative Disorders (PTLD)
Definition: Lymphoid and/or plasmacytic proliferations that occur as a result of immunosuppression in
Lymphoproliferative Disorders ... abnormalities (↑ LDH), rising ... Diagnosis and classification ... to 50% of PTLD cases ... Lymphoproliferative #Disorders
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 β€’ first seizure occurred
seizure occurred during ... Remote Symptomatic Cause ... Remote Symptomatic Cause ... Seizure #FirstTime #Initiation ... #start #Algorithm
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
malignant, pediatric cases ... leukocytosis, psychiatric disorders ... deteriorate w/ initiation ... or arrhythmia) during
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation ... Algorithm Adjunctive ... q 6 hours PRN nausea ... hold additional dosing ... Buprenorphine #Initiation