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Apr 7 • 6 tweets • 5 min read
1/
 In the newest Febrile Digest, we chat about SCORTCH as a framework for congenital infections. Check out our guest's overview: pubmed.ncbi.nlm.nih.gov/32586930/

Some nice figs below fr the paper 👇

But where did "TORCH" come fr? I tried to take a look in this 🧵

#IDTwitter #IDMedEd ImageImage
2/ From what I could tell, the ToRCH acronym originated in the 1970s and has been attributed to Dr. Nahmias: nature.com/articles/pr197… Image
3/
 There was a proposal from Harold Fuerst for "STORCH" in 1975, to include the omitted syphilis
publications.aap.org/pediatrics/art… Image
4/
 There was then "TORCHES" in 1976 from Dr. Brumback

publications.aap.org/pediatrics/art… Image
5/
 Other suggestions have included "cheap torches" too, this from Dr. Ford-Jones in 1995: pubmed.ncbi.nlm.nih.gov/7567307/ Image
6/
 Just a quick look at where these acronyms came from. Any other versions that you know of? Add them here!

#IDTwitter #IDMedEd #PedsID #PaedsID

Stayed tuned for the upcoming cases in the series "Curious Congenital Conundrums"!!

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More from @febrilepodcast

Febrile Profile picture
Sep 29, 2021
1/ We covered a MASH of pearls during the most recent episode with @SAIRABT ! Let's take a look at some of those points with some new (and prior) @febrilepodcast graphics!

For example, what @ID_fellows hasn't gotten called about rabies?! Check out this refresher #IDMedEd
2/
 Rash + eschar + fever should make you consider vector borne rickettsial diseases! See a compare/contrast guide below

Check out links to some @IUIDfellowship tweetorials on these infections:
febrilepodcast.com/episode-22-mic…
3/
 We talked about the big 3 orgs to remember with eosinophilic meningitis = ABG! Some notes on those infections + a list of other possible causes of eos meningitis

Check out links to some tweetorials on these infections:
febrilepodcast.com/episode-22-mic…
Read 8 tweets
Febrile Profile picture
Sep 28, 2021
1/
 Are you an @ID_fellows? Planning a future in ID?

In honor of #IDWeek2021 Fellows Day and our newest ep, let's 🔗to some ID learning tools! Use these to study for boards or just save to reference thru your training!

@ID_fellows #IDTwitter #IDMedEd

2/ For those studying for ID boards - have you taken a peek at the blueprint/content outlines? Good place to start.

⭐️Don't forget to look at your ITE missed Qs/topics to help identify places for improvement⭐️

ABIM: abim.org/Media/mucpauyz…

ABP: abp.org/sites/abp/file…
3/ @SAIRABT + @swinndong discussed the most impt resource = daily pt care+fellowship didactics!

What do you use to remember #IDMedEd you've learned?
Are you a notebook person?

How about taking those notes and adding #IDDailyPearl to share your knowledge with #IDTwitter!
Read 13 tweets
Febrile Profile picture
Sep 15, 2021
1/
 Tired of being confused by syphilis serologies?!
Want more info on who needs an LP?

To complement our newest episode, here are some infographics & pearls about syphilis covered by Khalil Ghanem and @ZachLorenzMD in this 🧵

#IDTwitter #IDMedEd @ID_fellows @MedTweetorials
2/
 First, let's start with four rules to understand and master syphilis serologies from Khalil!

#IDTwitter #IDMedEd
3/
 There are 2 algorithms - do you know what your lab uses?
📘Trad'l starts with nontrep test ➡️then uses trep test to confirm dx
◀️Reverse sequence starts with TT➡️then use NTT to stage your pt

Use this diagram to help sort the possible scenarios 👇

More on those FP/FN next
Read 9 tweets
Febrile Profile picture
Aug 18, 2021
1/
 Have you ever been confused about the BCG vaccine?

Check out this graphic that @LeaGoren @AliceCLehman @thie0149 created and the following thread!

#IDTwitter #IDMedEd #MedTwitter #MedPedsID #PedsID
2/💉Bacille-Calmette-Guerin (BCG) immuniz. against TB is a group of related live vaccines derived from attenuated M.bovis.
🌏Used in >100 countries, most widely administered vaccine in world
🧠Given to ⬇️incidence of TB meningitis + miliary dz in children

who.int/immunization/s…
3/
 Bookmark the BCG World Atlas to quickly see BCG vaccination policies by country as well as other information such as TB incidence

bcgatlas.org

While use in the US is uncommon, there are a few select individuals who might be considered for BCG vacc 👇
Read 8 tweets
Febrile Profile picture
Aug 17, 2021
1/ A great part of our newest ep. is the discussion about immigrant & refugee health assessments. Check out the great image from our guests @AliceCLehman @LeaGoren @thie0149 ! 👇

Keep scrolling for more resources/links

#IDMedEd #IDTwitter #MedPedsID Image
2/
 Children born outside of the US are vulnerable to increased morbidity due to the lack of awareness of their migration journey and indications for screening/tx. @AliceCLehman outlined some of the definitions that are often used Image
3/
 A key point from @AliceCLehman: refugee children are provided predeparture screening/treatment, which is coordinated with the International Office of Migration -- but immigrant/migrant children do not always undergo the same screens; may have variable predeparture environments Image
Read 8 tweets
Febrile Profile picture
Mar 10, 2021
1/
 In the newest episode, @JillWeather spoke about eosinophilia!

#1 step: calculate your absolute eosinophil count (AEC).

You can then grade eosinophilia based on AEC (mild/mod/severe)👉although this doesn't exactly predict organ damage

What else?
2/
The ddx for eosinophilia is broad! It can help to think of different causes in groups.

Here is a nice mnemonic and graphic from @HawraAllawati on how she remembers: iPa3d!

I nfection
P arasite
A3 atopy, autoimmune, adrenal insufficiency
D rug rxn Image
3/
 Another memory tool is 3 Ws:
🪱Worms: helminth infections
🫁Wheezes: allergic/atopic, adverse drug reactions
🤪Weird diseases: hypereos syndromes, rare immunodef

Here is a nice review on a practical approach to pt with hypereosinophilia: pubmed.ncbi.nlm.nih.gov/20538328/
Read 8 tweets

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