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
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...