Nicole Cifra, MD, MPH, MHPEd Profile picture
Adolescent medicine faculty @ChildrensPhila/@Penn. Interests: #EatingDisorders & #MedEd. #DadJokes, 😺📸 & 🎨 for levity. Tweets ≠ med advice/views mine.
Mar 10, 2023 22 tweets 8 min read
It was a hard decision on which workshop to go to this morning, but I'm in the pelvic pain workshop now! #SAHM23 Definitions
Primary dysmenorrhea: painful menses in absence of pelvic pathology

Secondary dysmenorrhea: painful menses due to pelvic pathology or medical condition (e.g. endometriosis)

Chronic pelvic pain: >6 months, intermittent or constant, not always gynecologic

#SAHM23
Mar 9, 2023 9 tweets 3 min read
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
Mar 8, 2023 8 tweets 5 min read
Symposium on the #HPVvaccine! Some key points here:
>90% of sexually active men and 80% of sexually actively women WILL BE INFECTED #SAHM23 Only 2 doses if given < 15 years of age are needed. Much better immune response if given younger. #HPVvaccine #SAHM23
Feb 28, 2023 6 tweets 2 min read
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...