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 ... #Addiction #Prescribing
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 ... #UseDisorder #Addiction
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
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 β€’ Portal vein thrombosis
 β€’ Splenic
Causes of Ascites ... - Differential ... Diagnosis Algorithm ... Malnutrition β€’ Protein-losing ... #Hepatology #causes
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Effusion - Differential ... Diagnosis Algorithm ... syndrome β€’ Protein-losing ... #Hepatology #causes
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
/ IBD Renal Loses ... Hypomagnesemia #Differential ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
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 ... Case description ... β€’ DOES NOT require ... (save $$) Differential
Webber Ankle Injury Classification

A: In a Supination-Adduction injury the fibula breaks first, with a fracture below
Webber Ankle Injury Classification ... In a Supination-Adduction ... appear to be a stable ... and easy way to differentiate ... These injuries are caused
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
relapsing fever caused ... settings with crowding ... TBRF is caused by ... The table below ... treated in a single dose
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 ... Treatment #Management #Addiction