LOVE hearing about @RFentonMD’s personal experience with the #HPVvaccine and how she decided to get it. Was also in a similar situation since we were about the same age when it came out! #SAHM23
The way in which providers approaches vaccination (presumptive be participatory) has a significant effect on vaccine uptake. #HPVvaccine#SAHM23
Offer at younger age can have positive effects such as decreased stigma and increased immunogenicity. I’ll be honest, I don’t frequency think of giving the #HPVvaccine at age 9. #SAHM23
@RFentonMD dispelling some vaccine myths and I’m here for it! 👏👏👏
💉Doesn’t increase sexual activity
💉Giving to prior to exposure is key
💉No association with infertility etc
Late to the headache workshop but here now! Learning about importance of treating migraines, children with migraines miss significantly more school than those who do not. #SAHM23
Patients with migraines with aura have increased risk of strokes. Important to avoid estrogen when possible as well as smoking to not compound this risk. #SAHM23
Complicated migraines: can have brainstem auras - sx of dizziness, tinnitus, ataxia, dysarthria, vertigo.
Vestibular migraine: dizziness with the headache part
By request, here's a brief thread on avoidant restrictive food intake disorder (ARFID). 🧵 #EDAW2023
ARFID emerged as a diagnosis with the DSM-5 in 2013. In short, patients with ARFID have restrictive eating w/o evidence of body image disturbance. But let's dig a little more...
Here are the diagnostic criteria. You'll notice that other medical/mental health conditions don't prevent a dx of ARFID from being made (e.g. autism spectrum). However, if another condition is present the feeding disturbance has to be beyond what is typical for that condition...
I conceptualize ARFID in 3 major categories.
1⃣ Pts w/ fear of an adverse consequence (e.g. vomiting, choking abd pain)
2⃣ Pts w/ sensory concerns (e.g. sensitivity to food texture, smell, temperature)
3⃣ Pts w/ a lack of interest in eating, minimal appetite, a chore to eat