Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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management buprenorphine alcohol aud clinical comparison diagnosis echocardiogram methadone opiate opioid pericardial pharmacology usedisorder withdrawal afib algorithm assessment atrial cardiac
Pearls for Treatment of Alcohol Use Disorder First-line pharmacotherapies for moderate to severe AUD include naltrexone and
Pearls for Treatment ... include abdominal pain ... UseDisorder #Management #Treatment ... Therapies #Screening #Addiction ... #Medications #Pharmacology
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table Some patients may decline buprenorphine
Buprenorphine - Comparison Table ... interested in medication ... Dosing usually begins ... Buprenorphine #Comparison #Pain ... #UseDisorder #Addiction
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal - Any prescriber
If patient is stable ... Buprenorphine Dosing ... co-exisiting chronic pain ... split dosing TID ... #Algorithm #Addiction
Malignant Pericardial Effusion and Tamponade on POCUS Echocardiogram - A4C CA patient with known pericardial effusion who
and Tamponade on POCUS ... Echocardiogram - A4C ... BP stable. ... Tamponade #Cardiac #POCUS ... Echocardiogram #A4C
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 Alcohol Use Disorder - Maintenance Treatment Naltrexone (first line) - First line for most people without contraindications
- Maintenance Treatment ... if also chronic pain ... if neuropathic pain ... #pharmacology #table ... #addiction
Atrial Fibrillation RVR - Medications Diltiazem • Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... strongly consider using ... Cannot tolerate addition ... #management #treatment ... #comparison #table
RV wall perforation from pacer wire on POCUS Patient with severe chest pain since last night. SC
pacer wire on POCUS ... with severe chest pain ... no pericardial effusion ... Vitals stable. ... echocardiogram #clinical #s4c
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 Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
fever: - Fever + ANC ... abdomen if abdominal pain ... rising > 500 → ... fever, weight gain ... , SOB, pleural effusions
Acute Pain Control In Patients On Medication Assisted Treatment (MAT) Methadone - µ-opioid receptor agonist: 1) Continue maintenance
Acute Pain Control ... In Patients On Medication ... Assisted Treatment ... or frequency of dosing ... Buprenorphine #methadone #addiction
Clinical Opioid Withdrawal Score (COWS) Resting Pulse Rate: Record beats per minute after patient is sitting or
assessment • 0 - able ... still, but is able ... patient was having pain ... Hospital Opioid Use Treatment ... Score #Diagnosis #Addiction
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