Discover and read the best of Twitter Threads about #PedsTwitter
Most recents (10)
I just finished another week rounding in the nursery and had a great time. I love my job! 👶🏼👩🏾🍼
Here are 7 common baby rashes that we didn’t cover last time.
#PedsTwitter #MedTwitter
Here are 7 common baby rashes that we didn’t cover last time.
#PedsTwitter #MedTwitter
1. Pink patches on the face 
This is a nevus simplex (aka salmon patch/stork bite/angel kiss). 👼🏻💋
They can worsen with crying and go away with time. They're usually on the forehead/eyelids and have feathery borders (vs. a port-wine stain). They're actually not nevi (moles) but capillary dilations.
They can worsen with crying and go away with time. They're usually on the forehead/eyelids and have feathery borders (vs. a port-wine stain). They're actually not nevi (moles) but capillary dilations.
I just finished rounding in the newborn nursery and got many questions from new parents.
Here are 7 common questions that I got that I think would be educational for parents (and peds trainees):
#PedsTwitter #MedTwitter
Here are 7 common questions that I got that I think would be educational for parents (and peds trainees):
#PedsTwitter #MedTwitter
1. “Why are my baby’s feet blue?”
This is known as acrocyanosis and is completely normal.
Babies have a hard time regulating temperatures, so their hands/feet are often colder than their bodies (as you would be in a cold café) ☕️
It may even affect the lips sometimes, but never the inside of the mouth.
Babies have a hard time regulating temperatures, so their hands/feet are often colder than their bodies (as you would be in a cold café) ☕️
It may even affect the lips sometimes, but never the inside of the mouth.
“Doctors are calling on the Biden administration to declare an emergency in response to an “alarming surge” of children hospitalized with respiratory syncytial virus and flu this season.” cnbc.com/2022/11/18/bid…
This is a crisis #pedsTwitter #RSV #Flu #Covid_19 #GetVaccinated
This is a crisis #pedsTwitter #RSV #Flu #Covid_19 #GetVaccinated
from @halleh13 ER doc
pediatric PA @PedsAly ⬇️
With RSV season now formally upon us, let’s learn a little bit about the virus! Here are 10 facts you may not know about RSV…
#PedsTwitter #MedTwitter
#PedsTwitter #MedTwitter
1. RSV is the #1 cause of hospitalizations in children under age 1 in the US (PMID 27490190).
(Technically, by billing codes, this is inaccurate—since being born is the #1 cause of hospitalization, but you get the idea.) 👩🍼
(Technically, by billing codes, this is inaccurate—since being born is the #1 cause of hospitalization, but you get the idea.) 👩🍼
2. Worldwide, the #1 killer of infants after the neonatal period is malaria. 🦟🩸
#2 is RSV (PMID 23245604).
RSV accounts for 7% of infant deaths (and malaria 12%).
#2 is RSV (PMID 23245604).
RSV accounts for 7% of infant deaths (and malaria 12%).
1/19
When is breastfeeding contraindicated? A thread 🧵 and list of contraindications
#MedTwitter #PedsTwitter 🍼
When is breastfeeding contraindicated? A thread 🧵 and list of contraindications
#MedTwitter #PedsTwitter 🍼
2/19
As pediatricians, we often default to recommending BFing for infants given the numerous health benefits that have been demonstrated for both the mother and child. 👩🦰👶
However, there are certain situations we should be mindful of.
As pediatricians, we often default to recommending BFing for infants given the numerous health benefits that have been demonstrated for both the mother and child. 👩🦰👶
However, there are certain situations we should be mindful of.
3/19
For me, the 1st major contraindication is maternal preference.🗳️
Moms have various reasons for opting not to BF, incl. convenience, comfort, stigma, past trauma... Our jobs as pediatricians is to explore hesitations but also support whatever choice is ultimately made.
For me, the 1st major contraindication is maternal preference.🗳️
Moms have various reasons for opting not to BF, incl. convenience, comfort, stigma, past trauma... Our jobs as pediatricians is to explore hesitations but also support whatever choice is ultimately made.
Not @AmerAcadPeds conflating race & genetic ancestry, arguing that the latter predicts risk of neonatal hyperbilirubinemia, and misusing the term “race-conscious medicine” without citing the trainee women of color @MarieVP_HU @tsaiduck77 who coined it #PedsTwitter #MedTwitter 1/
To be clear, race-conscious medicine is about #RACISM in medicine. The idea originates in critical race theory and legal+education policy with the aim of exposing the ways these allegedly neutral institutions—including medicine!—propagate racism. doi.org/10.1016/S0140-…
2/
2/
If you want a better sense of why subbing purported ‘genetic ancestry’ for race is NOT race-conscious, read: humgenomics.biomedcentral.com/articles/10.11…
or
thelancet.com/journals/lance…
or
science.org/doi/10.1126/sc…
3/
or
thelancet.com/journals/lance…
or
science.org/doi/10.1126/sc…
3/
"Kids are not simply little adults."
This adage is repeated countless times throughout med school re: physiology/pharma.
I think it should apply equally to #AI. That's why this headline from @AuntMinnie concerns me greatly.
#RadTwitter #PedsTwitter
1/n
bit.ly/3xH7oX4
This adage is repeated countless times throughout med school re: physiology/pharma.
I think it should apply equally to #AI. That's why this headline from @AuntMinnie concerns me greatly.
#RadTwitter #PedsTwitter
1/n
bit.ly/3xH7oX4
In the referenced article, the authors set out to validate @Lunit_AI CXR tool on a cohort of pediatric CXRs.
The authors explicitly state in the abstract that the tool was developed for ADULTS, not kids.
2/n
nature.com/articles/s4159…
The authors explicitly state in the abstract that the tool was developed for ADULTS, not kids.
2/n
nature.com/articles/s4159…
Here are a few of the reasons why I'm deeply concerned by this:
#1 - We already have learned that #AI tools can fail unpredictably & inexplicably on data that falls within the distribution of the training data.
3/n
#1 - We already have learned that #AI tools can fail unpredictably & inexplicably on data that falls within the distribution of the training data.
3/n
🧵 The Developmental Milestones of a Medical Student: A Sarcastic Thread
Ever wonder if medical students are meeting their age-appropriate milestones?! Well now you can know!
Starting with: Developmental Milestones – 2 Months
#MedTwitter #MedStudentTwitter #PedsTwitter
(1/11)
Ever wonder if medical students are meeting their age-appropriate milestones?! Well now you can know!
Starting with: Developmental Milestones – 2 Months
#MedTwitter #MedStudentTwitter #PedsTwitter
(1/11)
Developmental Milestones – 4 Months
(2/11)
(2/11)
Developmental Milestones – 6 Months
(3/11)
(3/11)
Curious about the new CDC/AAP SURVEILLANCE milestones?
Some background first!
Its important to know the difference between surveillance, screening, and diagnosis
And that these changes affect ONLY surveillance, and began BEFORE the pandemic
Alright, Let's go...🧵1/16
Some background first!
Its important to know the difference between surveillance, screening, and diagnosis
And that these changes affect ONLY surveillance, and began BEFORE the pandemic
Alright, Let's go...🧵1/16
Surveillance v. Screening v. Diagnosis
Surveillance: Identifying at-risk children by discussing parents’ worries and clinical observations and milestones
Any child identified as "at-risk" for developmental delay (DD) through surveillance, goes on to get a validated screen.
Surveillance: Identifying at-risk children by discussing parents’ worries and clinical observations and milestones
Any child identified as "at-risk" for developmental delay (DD) through surveillance, goes on to get a validated screen.
Screening v. Diagnosis
Screening: Validated assessments at specific ages, or when surveillance concerns arise, to quantify a risk for DD and refer for therapies or diagnostic evaluation. Ex. MCHAT/ASQ
Diagnostic: Evaluations by developmental experts. Ex ADOS/Bailey/Mullen...
Screening: Validated assessments at specific ages, or when surveillance concerns arise, to quantify a risk for DD and refer for therapies or diagnostic evaluation. Ex. MCHAT/ASQ
Diagnostic: Evaluations by developmental experts. Ex ADOS/Bailey/Mullen...
A recent paper in @AmerAcadPeds provided initial analysis of COVID-19 cases in China, but lacked details that clinicians need to consider as treatment policies develop, says Dr. Kathy Edwards, the Sarah H. Sell and Cornelius Vanderbilt Chair of Pediatrics at @VUmedicine 1/
Edwards says: "Only 1/3 of the cases had confirmed COVID 19 infection and 2/3 were suspected and not confirmed. Most children had few symptoms and recovered quickly. A very small number required more intensive care, but no fatalities were reported. ... 2/
"This paper has several major problems. First only 1/3 of the children had confirmed COVID 19, the majority did not. Second, we are not given any information about whether the children had underlying comorbidities (prematurity, cardiac disease, neurologic disease, cancer)... 3/
