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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Scleritis, Episcleritis Pearls
-Scleritis is characterized by significant pain, pain with eye movement, vision loss, and vessels
-Management of scleritis ... steroids +/- topical antibiotics ... self-limited and does ... not require acute ... treatment.
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€’
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Table Some patients ... interested in medication ... formulation, the dose ... #Pain #Management
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Start Algorithm - Management ... of acute opiate ... If patient is stable ... as first-line treatment ... co-exisiting chronic pain
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... Pain control - ... gram Q6hr) and pain-dose ... limit them as able ... #CriticalCare
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
- Review the medication ... c deliriogenic meds ... 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
Orthopedic Dressing Materials
1. Opsite - semi-permeable-thin, adhesive transparent polyurethrane film 
 β€’ Indications: Superficial wounds as
antiseptics or antibiotics ... growth, especially antibiotic-resistant ... Dressings #Materials #management ... #wound #comparison ... #table
Acute Pain Control In Patients On Medication Assisted Treatment (MAT)
Methadone - Β΅-opioid receptor agonist:
1) Continue maintenance
Acute Pain Control ... In Patients On Medication ... Assisted Treatment ... pain control can ... #PainControl #management
Orthopedic Emergencies
Compartment Syndrome
 β€’ An increase in compartment pressure to the point where tissue perfusion is
this maneuver does ... days after an acute ... - Intense pain ... - Antibiotic ... #treatment