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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Pain Assessment and Management Initiative (PAMI) - Opioid Prescribing and Equianalgesic Chart - Agents and Dosing

#Management
and Management Initiative ... Chart - Agents and Dosing ... Pharmacology #Opioid #Opiate ... Conversion #Doses #Dosing ... #Table #PAMI
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
Start - Inpatient Initiation ... Withdrawal Initial Dosing ... Hospital #Inpatient #Initiation ... management #withdrawal #opiate ... #opioid #algorithm
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
BP stable, HR 115 ... TBRF is caused by ... the body louse, causes ... The table below ... hypotension following initiation
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... Management of acute opiate ... If patient is stable ... Buprenorphine Dosing ... chronic pain split dosing
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
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
particularly those coming ... identifies 85 to 95% of cases ... (Cornelia NEJM ... a month after initiating ... ’t worry about initiating
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
assessment β€’ 0 - able ... still, but is able ... attributed to opiate ... last Β½ hour β€’ 2 - nausea ... SHOUT) #COWS #Opiate
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
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation ... q 6 hours PRN nausea ... hold additional dosing ... Buprenorphine #Initiation ... Management #Addiction #Opiate
Taken from Dr Motov's work on a CERTA regime.
This is published in conjunction with the CERTA
superior analgesia by using ... list and in all cases ... Pharmacology #NonOpioid #Opiate ... PainSyndromes #Pathways #Table