Point of Care Medicine
@pointofcaremed.bsky.social
We create digital resources including templates, graphics, podcasts, and videos for use at the point of care. Newsletter - http://eepurl.com/iiqJEL
Most recent Substack post dropped!
Features IBD, GERD vs NERD, COPD, OA, Hepatorenal Syndrome, Invasive Fungal Infections, and Bicarbonate!
rokeefemd.substack.com/p/im-and-ho...
Features IBD, GERD vs NERD, COPD, OA, Hepatorenal Syndrome, Invasive Fungal Infections, and Bicarbonate!
rokeefemd.substack.com/p/im-and-ho...
November 30, 2025 at 4:56 PM
Most recent Substack post dropped!
Features IBD, GERD vs NERD, COPD, OA, Hepatorenal Syndrome, Invasive Fungal Infections, and Bicarbonate!
rokeefemd.substack.com/p/im-and-ho...
Features IBD, GERD vs NERD, COPD, OA, Hepatorenal Syndrome, Invasive Fungal Infections, and Bicarbonate!
rokeefemd.substack.com/p/im-and-ho...
Read the most recent Point of Care Medicine Substack post!
You can also view it on the POCM website.
www.pointofcaremedicine.com/blog-post/i...
Subscribe to the Substack
rokeefemd.substack.com/
x.com/ROKeefeMD/s...
You can also view it on the POCM website.
www.pointofcaremedicine.com/blog-post/i...
Subscribe to the Substack
rokeefemd.substack.com/
x.com/ROKeefeMD/s...
IM and Hospital Medicine Recap - Clinical Reviews (October, Part 1)
The best lessons and pearls from clinical reviews featuring MGUS, inpatient hyponatremia, dermatologic emergencies, tinea infections, and hair loss in women.
www.pointofcaremedicine.com
November 17, 2025 at 1:52 AM
Read the most recent Point of Care Medicine Substack post!
You can also view it on the POCM website.
www.pointofcaremedicine.com/blog-post/i...
Subscribe to the Substack
rokeefemd.substack.com/
x.com/ROKeefeMD/s...
You can also view it on the POCM website.
www.pointofcaremedicine.com/blog-post/i...
Subscribe to the Substack
rokeefemd.substack.com/
x.com/ROKeefeMD/s...
Why is opioid withdrawal not deadly?
Withdrawal presents with symptoms opposite of opioid intoxication - dilated pupils, diarrhea, nausea, restlessness, piloerection, anxiety, yawning, and sweating.
Withdrawal presents with symptoms opposite of opioid intoxication - dilated pupils, diarrhea, nausea, restlessness, piloerection, anxiety, yawning, and sweating.
November 8, 2025 at 4:58 PM
Why is opioid withdrawal not deadly?
Withdrawal presents with symptoms opposite of opioid intoxication - dilated pupils, diarrhea, nausea, restlessness, piloerection, anxiety, yawning, and sweating.
Withdrawal presents with symptoms opposite of opioid intoxication - dilated pupils, diarrhea, nausea, restlessness, piloerection, anxiety, yawning, and sweating.
Dicyclomine provides targeted relief of GI symptoms during opioid withdrawal via dual action of anticholinergic effects and direct smooth muscle relaxation.
By blocking muscarinic receptors, is decreases smooth muscle tone, GI secretions, and GI motility.
By blocking muscarinic receptors, is decreases smooth muscle tone, GI secretions, and GI motility.
November 7, 2025 at 10:02 PM
Dicyclomine provides targeted relief of GI symptoms during opioid withdrawal via dual action of anticholinergic effects and direct smooth muscle relaxation.
By blocking muscarinic receptors, is decreases smooth muscle tone, GI secretions, and GI motility.
By blocking muscarinic receptors, is decreases smooth muscle tone, GI secretions, and GI motility.
New episode!
Opioid Withdrawal - Quick Admit!
A comprehensive guide on how to complete a thorough history and physical (H+P) for patients presenting to the hospital with opioid withdrawal!
open.spotify.com/episode/4zW...
Opioid Withdrawal - Quick Admit!
A comprehensive guide on how to complete a thorough history and physical (H+P) for patients presenting to the hospital with opioid withdrawal!
open.spotify.com/episode/4zW...
November 6, 2025 at 9:58 PM
New episode!
Opioid Withdrawal - Quick Admit!
A comprehensive guide on how to complete a thorough history and physical (H+P) for patients presenting to the hospital with opioid withdrawal!
open.spotify.com/episode/4zW...
Opioid Withdrawal - Quick Admit!
A comprehensive guide on how to complete a thorough history and physical (H+P) for patients presenting to the hospital with opioid withdrawal!
open.spotify.com/episode/4zW...
6 Facts Every Clinician Needs to Know About Tumor Lysis Syndrome (2025)
October 21, 2025 at 4:04 PM
6 Facts Every Clinician Needs to Know About Tumor Lysis Syndrome (2025)
12 Key Principles for Diagnosing and Managing Vertigo and Dizziness
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July 15, 2025 at 4:03 PM
12 Key Principles for Diagnosing and Managing Vertigo and Dizziness
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CKD & Atrial Fibrillation: Navigating the Anticoagulation Maze
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May 23, 2025 at 3:56 PM
CKD & Atrial Fibrillation: Navigating the Anticoagulation Maze
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May 22, 2025 at 4:02 PM
📄 A full guide to admitting a patient with AFib with RVR
Includes an admission checklist, HPI intake, focused exam, etiology/ddx, and a detailed vs limited EHR dotphrase.
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Includes an admission checklist, HPI intake, focused exam, etiology/ddx, and a detailed vs limited EHR dotphrase.
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May 21, 2025 at 3:58 PM
📄 A full guide to admitting a patient with AFib with RVR
Includes an admission checklist, HPI intake, focused exam, etiology/ddx, and a detailed vs limited EHR dotphrase.
🧵
Includes an admission checklist, HPI intake, focused exam, etiology/ddx, and a detailed vs limited EHR dotphrase.
🧵
20 Atrial Fibrillation Facts Every Physician Needs to Known
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May 20, 2025 at 3:57 PM
20 Atrial Fibrillation Facts Every Physician Needs to Known
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Atrial Fibrillation in 100 Seconds
May 19, 2025 at 1:22 PM
Atrial Fibrillation in 100 Seconds
Why are ST-elevation (STE) cutoffs different for leads V2-V3, and specifically higher for younger men?
#ECG #Cardiology #STEMI #MedEd #ClinicalPearls #Diagnosis #EmergencyMedicine
#ECG #Cardiology #STEMI #MedEd #ClinicalPearls #Diagnosis #EmergencyMedicine
May 8, 2025 at 9:00 PM
Why are ST-elevation (STE) cutoffs different for leads V2-V3, and specifically higher for younger men?
#ECG #Cardiology #STEMI #MedEd #ClinicalPearls #Diagnosis #EmergencyMedicine
#ECG #Cardiology #STEMI #MedEd #ClinicalPearls #Diagnosis #EmergencyMedicine
Why does ACS cause pain radiating to the arms?
#ACS #Cardiology #MedEd #ClinicalPearls #Diagnosis
1. Shared Pathways
Cardiac nociceptive input travels via visceral afferents, converging in the spinal cord primarily at C5-T1 dermatomes. This is the same segmental innervation as the brachial plexus
#ACS #Cardiology #MedEd #ClinicalPearls #Diagnosis
1. Shared Pathways
Cardiac nociceptive input travels via visceral afferents, converging in the spinal cord primarily at C5-T1 dermatomes. This is the same segmental innervation as the brachial plexus
May 7, 2025 at 9:00 PM
Why does ACS cause pain radiating to the arms?
#ACS #Cardiology #MedEd #ClinicalPearls #Diagnosis
1. Shared Pathways
Cardiac nociceptive input travels via visceral afferents, converging in the spinal cord primarily at C5-T1 dermatomes. This is the same segmental innervation as the brachial plexus
#ACS #Cardiology #MedEd #ClinicalPearls #Diagnosis
1. Shared Pathways
Cardiac nociceptive input travels via visceral afferents, converging in the spinal cord primarily at C5-T1 dermatomes. This is the same segmental innervation as the brachial plexus
Why does sitting up and leaning forward improve pain in pericarditis?
- Lying flat increases pressure on the posterior pericardium as the heart rests more heavily on it.
- In an upright position, the heart drops anteriorly and inferiorly, relieving pressure on the posterior pericardium
- Lying flat increases pressure on the posterior pericardium as the heart rests more heavily on it.
- In an upright position, the heart drops anteriorly and inferiorly, relieving pressure on the posterior pericardium
May 6, 2025 at 6:53 PM
Why does sitting up and leaning forward improve pain in pericarditis?
- Lying flat increases pressure on the posterior pericardium as the heart rests more heavily on it.
- In an upright position, the heart drops anteriorly and inferiorly, relieving pressure on the posterior pericardium
- Lying flat increases pressure on the posterior pericardium as the heart rests more heavily on it.
- In an upright position, the heart drops anteriorly and inferiorly, relieving pressure on the posterior pericardium
14 Must-Know Facts for Managing Pulmonary Embolism in 2025
PE is the 3rd leading cause of CV death.
This thread breaks down essential PE management for hospitalists: risk stratification, diagnostics, & treatment.
- Thread 🧵
PE is the 3rd leading cause of CV death.
This thread breaks down essential PE management for hospitalists: risk stratification, diagnostics, & treatment.
- Thread 🧵
February 25, 2025 at 5:00 PM
14 Must-Know Facts for Managing Pulmonary Embolism in 2025
PE is the 3rd leading cause of CV death.
This thread breaks down essential PE management for hospitalists: risk stratification, diagnostics, & treatment.
- Thread 🧵
PE is the 3rd leading cause of CV death.
This thread breaks down essential PE management for hospitalists: risk stratification, diagnostics, & treatment.
- Thread 🧵