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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Treatment of Alcohol Use Disorder

Treatment options for AUD include psychosocial treatment and medications. Individualize based on
Treatment of Alcohol ... and medications ... pills/day) β€’ Dose ... CarolynAChan #Alcohol ... #Management #AUD
Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
of Alcohol Use ... respectively) at the doses ... #UseDisorder #Management ... #Treatment #AUD ... Screening #Addiction #Medications
Summary of meta-analysis of pharmacotherapy trials in BPD
https://www.cochrane.org/CD005652/BEHAV_psychological-therapies-borderline-personality-disorder
Meta-analyses of RCTs were undertaken for the following outcomes:
with β€˜treatment ... summarised in Tables ... EBM #Management ... Personality #Disorder #Medications ... Effectiveness #Table
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism Treatment ... - Indications ... 2% risk of ICH and ... #AcutePE #Management ... #CriticalCare
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 β€’ Decompensated cirrhosis
 β€’ Typically with existing
Syndrome - Diagnosis and ... Management Summary ... a precipitant: Medications ... , Alcohol abuse, ... #treatment
Management of Serotonin Syndrome
Identify and stop all serotoninergic medications
 β€’ Avoid inadvertent Rx of serotoninergic meds
Management of Serotonin ... serotoninergic medications ... serotoninergic meds ... : 12mg loading dose ... #treatment #toxicology
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison Table ... interested in medication ... naloxone as a trial ... formulation, the dose
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
Atrial Fibrillation ... RVR - Medications ... of or increased doses ... #management #treatment ... #comparison #table
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 β€’ If low preload β†’
Injury (AKI) - Management ... nephrostomy tube(s) and ... Foley β€’ UTI β†’ Antibiotics ... β†’ Stop meds β€’ ... #management
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Start Algorithm - Management ... high-affinity, partial ... opioid that is safe and ... If patient is stable ... as first-line treatment