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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Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
include abdominal pain ... respectively) at the doses ... #UseDisorder #Management ... #Treatment #AUD ... Screening #Addiction #Medications
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
Scleritis, Episcleritis Pearls
-Scleritis is characterized by significant pain, pain with eye movement, vision loss, and vessels
, pain with eye ... -Management of scleritis ... steroids +/- topical antibiotics ... does not require ... acute treatment
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism Treatment ... - Indications ... 2% risk of ICH and ... #AcutePE #Management ... #CriticalCare
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 β€’ If low preload β†’
Acute Kidney Injury ... (AKI) - Management ... β€’ AIN β†’ Consider ... Foley β€’ UTI β†’ Antibiotics ... β†’ Stop meds β€’
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... Pain control - ... pain-dose ketamine ... limit them as able ... #CriticalCare
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Start Algorithm - Management ... of acute opiate ... opioid that is safe and ... If patient is stable ... co-exisiting chronic pain
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison Table ... interested in medication ... formulation, the dose ... Buprenorphine #Comparison #Pain
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
- Review the medication ... meds if possible ... if uncontrolled pain ... Delirium #Checklist #Management ... #CriticalCare
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... exercise, after acute ... of or increased doses ... #management #treatment ... #comparison #table