Discover and read the best of Twitter Threads about #Tweetiatricians

Most recents (10)

So disappointed in @AmerAcadPeds. This guidance is anti-child and anti-science, and I can’t even pretend to get behind it!

Children Ages 2 and Up Who Aren’t Fully Vaccinated Should Continue to Wear Face Masks, the American Academy of Pediatrics Recommends services.aap.org/en/news-room/n…
Man! And to think I was miffed when they said you should sleep in the same room with your infant for a year. This is orders of magnitude worse than that. 😒
Read 3 tweets
We live in an attention #economy & what #Tweetiatricians have known for decades (#Twitter started in 2006): importance of drawing attention to factual science-based information as compared to #misinformation & #disinformation, especially on #vaccines

econreview.berkeley.edu/paying-attenti…
You have to be fast & prolific to play catch up to this. I have 77K tweets, a moderate sized band of 6K followers interested enough to tolerate my volume but use of hashtags allows reach across Twittersphere. Trending hashtags = better for riding a way for that attention economy
If is unclear if we are now so siloed that tweets are ineffective with anti-vaxx. But not all anti-vaxx are QAnon
Read 39 tweets
Next up is @andrewhaynes sharing some knowledge on oral antibiotic dosing #COPedsID2020 @COpedsID #IDTwitter
#Tweetiatricians: If prescribing cephalexin for an 8 year old girl with cystitis, would you choose once daily? BID? TID? QID?

Most respondents chose TID. #COPedsID2020
Time for some pharmacokinetics!
For beta-lactams: Time that your antibiotic concentration is above the MIC (minimum inhibitory concentration) for the organism is the time that you are killing your organism. #COPedsID2020
Read 14 tweets
1/
ATOPIC DERMATITIS - a #dermatology #tweetorial/#medthread!

For all the #tweetiatricians, #primarycare, #medtwitter, & #dermtwitter! #MedEd #FOAMEd pc:@dermnetnz

1st, a question:
How do you think of the term atopic dermatitis (AD) in relation to the term eczema?
2/
If you're a purist, "eczema" is a description. When a #dermatologist says something looks eczematous, it doesn't mean it's AD. It means it has a certain appearance.

So the right answer for purists is "AD can cause eczema."

That said, we so often just use eczema to mean AD🤷🏻‍♂️
3/
As annoying as that might be, it's an important distinction. If you see an eczematous rash, you need to consider possible causes:

- Atopy
- Allergy/irritant contact
- Medications
- Venous stasis
- Dry skin

For more on contact dermatitis, check out @patchtestYu!
Read 16 tweets
While we should recognize Black History every month I do appreciate the opportunity #BlackHistoryMonth gives us to reflect.

In that spirit each day I’m going to recognize those in the community who have helped me grow & are writing their part (some literally) of our history.
2/1 - @BDTSpelman’s Why Are All the Black Kids Sitting Together in the Cafeteria should be required reading. For everyone.

Her work inspired my advocacy for pediatricians to do more to stop racism at its roots in early childhood. 🙏🏾
#BlackHistoryMonth

2/2 - I thought I was going to have the cool job in the family then my bro went & became a Blackhawk pilot & Captain😎!

@NjoyaChomilo’s service alone is enough but his ability to bring people together & willingness to embrace change have taught me so much🙏🏾🙌🏾
#BlackHistoryMonth
Read 31 tweets
1/
STAPHYLOCOCCAL SCALDED SKIN SYNDROME - A #dermatology/#dermtwitter #tweetorial!

Let's start with a question: You are seeing a new patient with a rash you suspect of being SSSS, but aren't sure if it might be bullous impetigo.

What test will help you differentiate the two?
2/
The correct answer is wound culture! SSSS should be sterile or skin flora; bullous impetigo will have lots of staph grow out. Keep reading to find out why! 👇

But before we get there, let's talk about the SSSS exam. The pic is a good example of "sad facies." pc:@dermnetnz
3/
The other great clue you are dealing with SSSS is the predilection for skin folds. This eruption can cause a high BSA of erythema --> desquamation.

SSSS is more common in the #pediatrics population, especially in kids <5 years of age (for all the #tweetiatricians out there!)
Read 14 tweets
@AAPPres Dr. Kyle Yasuda shares the AAP’s support for #T21 & youth e-cig ban policies at the #AAP19 opening plenary

#mnleg needs to take up this important legislation in 2020 Image
“Kids don’t judge you based on your title or your resume, they judge you on your voting record, how often you show up whether they deserve it or not” @JoshShipp delivering a powerful plenary speech at #AAP19 Image
“Every kid is one choice away from being a statistic. But that choice isn’t always one they get to make” #AAP19 Image
Read 13 tweets
Syphilis! RMSF! Hand-foot mouth!

Slow down there, Tiger! Let's dive deeper into:

ACRAL RASHES - a #tweetorial/#medthread
(aka rashes on the "palms and soles" - kind of 😉).

#MedEd #FOAMEd #medtwitter #dermtwitter #dermatology #dermatologia pc:@dermnetnz
1/
No where else on the body does a rash evoke more of a knee-jerk differential. That's not wrong per se, as we all learn this in med school, but it's more complicated then starting doxycycline and checking an RPR!

Let's start with a definition - what does "acral" actually mean?
2/
Technically, "acral" just means our distal body parts. So while we often think of palms and soles, it's actually inclusive of the whole hand, the whole foot, ears, and some include even the nose!

I actually didn't learn this until #derm residency, which was shocking to me.
3/
Read 20 tweets
I have a confession... as a child, I once shoplifted.

A Thread.

npr.org/2019/06/16/733…
I was maybe 6 or 7 years old. My (white) maternal grandparents were visiting & I went with them, my Mom & younger siblings to a Christian book store.

At the time I was really into Colby’s Clubhouse. A show about a robot that hung out w/kids & taught them lessons from the Bible Image
In the store was a Colby wristwatch! I wanted it, bad. Even now I recall how much I wanted that watch. My Mom refused.

So I snuck away & put the box under my winter coat. I remember the walk to the car being difficult as I was afraid it would fall out.
Read 17 tweets
Introduced this week in the Tennessee House, a new version of the fetal assault law. I'm going to write here about it's history, and why I'm worried. Hoping you will help me spread the word. @DrJenGunter @choo_ek #medtwitter #tweetiatricians wapp.capitol.tn.gov/apps/BillInfo/…
First, please don't attack my home state of Tennessee. Some on my twitter feed like to say negative things about my state ... it's not productive, it's insulting. The state is me, my family, colleagues and hundreds of public servants trying to do good.
Now to the history. From 2014 to 2016, Tennessee had a law on the books that a woman using a narcotic in pregnancy could be charged with a misdemeanor. It was essentially a special penalty just for pregnant women. tn.gov/content/dam/tn…
Read 13 tweets

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