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
Use Disorder and Withdrawal ... Initial Dosing: ... Withdrawal severity ... #opiate #opioid ... #algorithm
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Management of acute opiate ... withdrawal - ... 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
Buprenorphine - Comparison Table ... In these cases, ... has completely withdrawn ... experience precipitated withdrawal ... Dosing usually begins
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
Hypertension - Differential ... hypokalemia and withdrawal ... Oral sodium loading ... drugs) Response to withdrawal ... Screening #Workup #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
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid Withdrawal ... still, but is able ... attributed to opiate ... last Β½ hour β€’ 2 - nausea ... SHOUT) #COWS #Opiate
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation Algorithm ... for symptoms of withdrawal ... q 6 hours PRN nausea ... hold additional dosing ... Management #Addiction #Opiate
The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
consciousness Differential ... pontine lesion β€’ Roving ... localizes, flexion withdrawal ... Casey Albin MD @