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UNC Peds Chiefs Profile
UNC Peds Chiefs

@unc_peds

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We are the UNC Pediatric Chiefs! Follow us for clinical pearls and residency news! (All pics are from teaching sites/HIPAA compliant, not of our patients)

Chapel Hill, NC
Joined May 2016
Don't wanna be here? Send us removal request.
@unc_peds
UNC Peds Chiefs
9 years
In neonates w/ persistent hypoglycemia, think hyperinsulinism, especially if the insulin level is inappropriately high when glucose is low!.
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@unc_peds
UNC Peds Chiefs
9 years
In a kiddo with vague sx (N/V, weakness, fatigue), don't forget ADDISON's DZ -- look for hypo-Na, hyper-K, metab acidosis, and hypotension!!.
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@unc_peds
UNC Peds Chiefs
9 years
With UTI, including infants, +LE is the most sensitive indicator of UTI (93%, does not replace a culture). Nitrates are most specific (98%).
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@unc_peds
UNC Peds Chiefs
9 years
Have a clinical question? Check out the TRIP (Turning Research Into Practice) database! Happy EBMing!.
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@unc_peds
UNC Peds Chiefs
9 years
Check out this post by one of our Chiefs! Four-Oh-Wunk -
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@unc_peds
UNC Peds Chiefs
9 years
Child w/recent URI p/w new annular itchy rash like this? Think Urticaria Multiforme #NEJM #imagechallenge
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@unc_peds
UNC Peds Chiefs
9 years
Intrapartum antibiotics decrease incidence of early BUT NOT late onset GBS disease.
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@unc_peds
UNC Peds Chiefs
9 years
In a child with persistent hepatomegaly, think metabolic disease, even in an older child.
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@unc_peds
UNC Peds Chiefs
9 years
When it comes to adolescent sports participation, the only true contraindication is FEVER! Keep those kids active and healthy!.
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@unc_peds
UNC Peds Chiefs
9 years
In a child having difficulty walking, don't forget to take a good diet history. they could have scurvy!! (or other deficiencies, eg Vit E).
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@unc_peds
UNC Peds Chiefs
9 years
For infants born to mothers with HSV - Get surface swabs 24 hrs after birth to avoid false positive results!.
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@unc_peds
UNC Peds Chiefs
9 years
In kids in whom you have a high index of suspicion/worry about TB (immunocompromise or known exposure), you only need PPD of 5mm.
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@unc_peds
UNC Peds Chiefs
9 years
For kids 1-10 years old, a quick cheat for "what's hypotension"= 70 + (age x 2). So go on, cheat and recognize Anaphylaxis! #epipen.
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@unc_peds
UNC Peds Chiefs
9 years
Tonight is our annual Hello-Goodbye Party! Thanks seniors for everything you've done--We'll miss you. But WELCOME to the new tarHEALers!.
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@unc_peds
UNC Peds Chiefs
9 years
DiGeorge can present with a myriad of phenotypes--often isolated conotruncal cardiac anomalies, like a vascular ring, Truncus, or Tet.
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@unc_peds
UNC Peds Chiefs
9 years
In a <5 yo with unilateral erythema, nontender lymphadenopathy and no fever/constitutional symptoms, think Nontuberculous Mycobacteria!.
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@unc_peds
UNC Peds Chiefs
9 years
In an infant with hypotonia of unclear etiology, consider checking a CK to clue you into (inherited) dysfunction at the muscular level!.
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@unc_peds
UNC Peds Chiefs
9 years
6yo p/w persistent erythema/pruritus of the eyelids, previously labeled "atopic dermatitis". Up close, EYELASH LICE!
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@unc_peds
UNC Peds Chiefs
9 years
In a child <5 yo with unilateral erythema, nontender lymphadenopathy and fever/constitutional symptoms, think Nontuberculous Mycobacteria!.
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