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
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
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
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
relapsing fever caused ... settings with crowding ... TBRF is caused by ... The table below ... hypotension following initiation
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
particularly those coming ... very remarkable w/differential ... identifies 85 to 95% of cases ... a month after initiating ... ’t worry about initiating
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