You have no evidence of diabetes? 4-5 days of prednisone 40mg fix almost everything. 60mg if youre a "fluffy" patient. and the things that prednisone doesnt fix? Dexamethasone (due to the eurphoric/manic effects) will handle it!
I consider “zofran didn’t work for me” to be the equivalent of a positive cannabinoid UDS. It really seems like the cannabinoid hyperemesis patients need some d2 blocking action. We don’t have droperidol so I’m a compazine fan. I need the noise to stop lol
When I was a residents one of our sites had a medication called “Cholase” in the EMR.
For an entire year I ordered it for everyone I was discharging with constipation before someone was kind enough to inform me that I was not in-fact ordering Colase