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Ann Young Profile picture
Ann Young
@AnnYoungMD
@BostonChildrens pediatric emergency medicine #PEM fellow via @TexasChildrens | loud introvert, liminal learner, working on my meta-cognition
Jul 20, 2022 • 12 tweets • 5 min read
Review of a rare, can't-miss infant diagnosis: ALCAPA (not alpaca!)

Learn how to identify this highly fatal diagnosis in the emergency department and get your patient to definitive surgical correction.

1/ Image ALCAPA = "anomalous left coronary artery from the pulmonary artery."

Normally, the LCA arises from the aorta to supply the LV. In ALCAPA, the LCA comes off the PA, so it fills with deoxygenated blood, leading to ischemia then infarction.

Img: researchfeatures.com/alcapa-adults-…

2/ Image
Jul 18, 2022 • 6 tweets • 1 min read
One of the most important lessons I was taught as a medical student is the importance of accurately answering your attending's questions when you are staffing with them.

/Thread Example:

Attending: Does this patient have a history of UTI?
Trainee: No.
Attending: Did you specifically ask the patient and they said no?
Trainee: I didn't ask but they didn't say they had one previously...

/2
Sep 17, 2021 • 11 tweets • 6 min read
Wanted to share a few tips for positioning for toddler facial laceration repair, inspired by @TessaRDavis great tweetorial on positioning for PIVs. I hope this inspires a thoughtful preparation for your next toddler lac repair!
#PEMTwitter #FOAMed
1/ 1. Toddler position: When possible, avoid tightly "swaddling" (it makes them distressed/hot) or the child sitting on a parent (2 moving targets). I prefer the toddler supine watching a tablet held above their head (change tablet position to get more/less neck extension).
2/