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Cleveland, Ohio
Joined December 2011
Georgia and Michigan built statewide trauma systems by different paths. At STACS 2026, their architects share what worked and what they would change. Register: cognitoforms.com/ArizonaTrau… #TraumaSurgery #MedEd
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PRSS1 mutation in a child with recurrent pancreatitis: every remaining cell carries the mutation. Partial resection is the wrong operation. TPIAT is preferred. @JPGurria Full EP: library.globalcastmd.com/vid… #SoMe4PedSurg #PedSurg Made possible by @CincyChildrens
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#Techniquetuesday We are highlighting ‘Orchiopexy for Left Undescended Testis' by Dr. Tamer Ashraf Wafa. Check out our video library of surgical technique videos in the @‌StayCurrentMD app! Full vid: youtu.be/UJPj4W7BCm8?utm_sou… #SoMe4PedSurg Made possible by @CincyChildrens
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Young child + pulmonary metastases + large liver mass = hepatoblastoma 99.9% of the time. Know the atypical presentations — rib fractures, vertebral fractures, precocious puberty in Tanner Stage 1. Full EP: library.globalcastmd.com/wat… #PedSurg Made possible by @CincyChildrens
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Referred as osteosarcoma. Biopsy confirmed metastatic renal tumor. A large left renal mass was visible on lower imaging cuts — almost missed entirely. Always review the full field. Full EP: library.globalcastmd.com/wat… #PedSurg #MedEd Made possible by @CincyChildrens
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SCCOHT is rarely on the preoperative differential — surgeons assume germ cell. Universal SMARCA4 germline testing is indicated for all patients, regardless of family history. Full EP:library.globalcastmd.com/wat… #SoMe4PedSurg #PedSurg Made possible by @CincyChildrens
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Hepatoblastoma mass plateaued on MRI. Resection showed >90% tumor death. Falling AFP + stable size = necrosis, not resistance. That is the signal to plan resection, not add cycles. Full EP: library.globalcastmd.com/wat… #SoMe4PedSurg #PedOnc Made possible by @CincyChildrens
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Aortic trauma and peripheral vascular injury — same field, diverging evidence. Adrian Santini, MD, MS covers both at STACS 2026. Register: cognitoforms.com/ArizonaTrau… More info: stacs2026.netlify.app/?utm_s… #TraumaSurgery #STACS2026
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GlobalCastMD retweeted
Aortic trauma and peripheral vascular injury — same field, diverging evidence. Adrian Santini, MD, MS covers both at STACS 2026. Register: cognitoforms.com/ArizonaTrau… More info: stacs2026.netlify.app/?utm_s… #TraumaSurgery #STACS2026
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GlobalCastMD retweeted
Sagittal craniosynostosis: stainless steel springs placed at strip craniectomy expand the skull from the inside out — no helmet, no home management. A second op retrieves them. Logistics decide the plan. #SoMe4PedSurg #PedSurg Made possible by @CincyChildrens
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Part 4/4!
Craniosynostosis vs. positional asymmetry: the differentiating question is not severity at presentation, but whether the abnormal shape persists as the infant grows. Part 4 of 4. More info: cincinnatichildrens.org/serv… #PedSurg #SoMe4PedSurg Made possible by @CincyChildrens
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GlobalCastMD retweeted
Craniosynostosis vs. positional asymmetry: the differentiating question is not severity at presentation, but whether the abnormal shape persists as the infant grows. Part 4 of 4. More info: cincinnatichildrens.org/serv… #PedSurg #SoMe4PedSurg Made possible by @CincyChildrens
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Part 3/4!
In craniosynostosis, early diagnosis enables minimally invasive repair — one small incision, then helmet therapy to guide natural growth. No open reconstruction needed. Part 3 of 4. More info: cincinnatichildrens.org/serv… #Craniosynostosis #PedSurg Made possible by @CincyChildrens
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GlobalCastMD retweeted
In craniosynostosis, early diagnosis enables minimally invasive repair — one small incision, then helmet therapy to guide natural growth. No open reconstruction needed. Part 3 of 4. More info: cincinnatichildrens.org/serv… #Craniosynostosis #PedSurg Made possible by @CincyChildrens
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Craniosynostosis vs. positional flattening: when a suture fuses early, the skull compensates by growing along unrestricted axes. Ultrasound confirmed it. Part 2 of 4 For more information: cincinnatichildrens.org/serv… #SoMe4PedSurg #PedSurg Made possible by @CincyChildrens
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GlobalCastMD retweeted
Craniosynostosis vs. positional flattening: when a suture fuses early, the skull compensates by growing along unrestricted axes. Ultrasound confirmed it. Part 2 of 4 For more information: cincinnatichildrens.org/serv… #SoMe4PedSurg #PedSurg Made possible by @CincyChildrens
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Not every abnormal infant head shape is positional. Part 1 of 4 — a case from Cincinnati Children's on early craniofacial diagnosis and what serial photo documentation can reveal. More info: cincinnatichildrens.org/serv… #PedSurg #MedEd Made possible by @CincyChildrens
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