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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Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient
to opioids for pain ... emergency department ... decreases opioid usage and ... #Pharmacology # ... Indications #Pathways #Table
Glaucoma - Emergency Department Management
- All patients should get emergency ophthalmologic consultation
- Start with eye drops
Glaucoma - Emergency ... below) and add ... blocker) - Topical meds ... is < 40 mmHg #Pharmacology ... Glaucoma #Open #Closed
Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
include abdominal pain ... #UseDisorder #Management ... #Treatment #AUD ... Therapies #Screening #Addiction ... #Medications #Pharmacology
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Combinations of Non-Pharmacologic ... Medication Assisted Treatment ... Mahlaqa Butt #Emergency ... Stewardship #Algorithm #Management ... #Pain #ED
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
opioid that is safe and ... If patient is stable ... co-exisiting chronic pain ... Opioid #Withdrawal #Emergency ... #Algorithm #Addiction
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison Table ... Buprenorphine #Comparison #Pain ... #Management #Opioid ... #UseDisorder #Addiction
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... /back pain that ... Marfans, EDS ... deficit β€’ Shock Treatment ... Dissection #diagnosis #management
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... c deliriogenic meds ... if uncontrolled pain ... sleeping, administer pharmacologic ... Delirium #Checklist #Management
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Management during ... Delivery β€’ Stable ... teratogenic GDMT meds ... Serial TTE and close ... #cardiology #treatment
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
if also chronic pain ... if neuropathic pain ... uptitrate) #AUD ... #management #pharmacology ... #table #addiction