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
Pearls for Treatment ... include abdominal pain ... respectively) at the doses ... Therapies #Screening #Addiction ... #Medications #Pharmacology
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
If patient is stable ... as first-line treatment ... co-exisiting chronic pain ... Buprenorphine #Treatment ... #Algorithm #Addiction
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
capitate "apple" does ... dorsal wrist, pain ... ED Management: Pain ... Radiology #XRay #Diagnosis ... #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
of a fracture does ... ED Management: Pain ... Discharge with orthpedic ... Radiology #XRay #Diagnosis ... #MSK
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Buprenorphine - Comparison Table ... medication assisted treatment ... formulation, the dose ... Buprenorphine #Comparison #Pain ... #UseDisorder #Addiction
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
ED Management: Pain ... β€’ If stable ... DC with orthopedic ... Radiology #XRay #Diagnosis ... #Proximal #MSK
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
prophylactic antibiotic treatment ... ED Management: Pain ... Radiology #XRay #Diagnosis ... Management #Hand #Orthopedics ... #MSK
Orthopedic Emergencies
Compartment Syndrome
 β€’ An increase in compartment pressure to the point where tissue perfusion is
Orthopedic Emergencies ... this maneuver does ... β€’ Diagnosis: ... - Intense pain ... days, the local pain
Ober's Test for TFL/ITB Inflammation

With the patient in the lateral position, affected side up.  The
leg towards the table ... (hip adduction) ... restricted or pain ... physicalexam #sports #msk ... #orthopedics
β–Ί
Webber Ankle Injury Classification

A: In a Supination-Adduction injury the fibula breaks first, with a fracture below
In a Supination-Adduction ... is not seen on plain ... appear to be a stable ... #Diagnosis #Orthopedics