Allergy Flashcards

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1
Q

what is hypersensitivity?

A

an immune response that causes collateral damage to self

usually an exaggeration of the normal immune mechanisms

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2
Q

what is the pathophysiological basis for allergy and autoimmunity?

A

hypersensitivity

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3
Q

when does an allergic reaction occur?

A

when a persons immune system reacts to a normally harmless substance

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4
Q

what is an allergen?

A

a substance that causes an allergic reaction

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5
Q

what type of reaction is a type I allergy?

A

immediate

occurs within minutes-hours after exposure to the allergen

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6
Q

name four routes of exposure to an allergen

A

ingestion
inhalation
skin contact
injection

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7
Q

name some local symptoms of a type I allergic reaction

A

itching
swelling
nausea
vomiting

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8
Q

name some systemic symptoms of a type I allergic reaction

A

airway obstruction
hives
low BP

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9
Q

name four things that type I allergy can present with

A

urticaria
angioedema
wheezing
anaphylaxis

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10
Q

describe urticaria

A

very itchy
lesions appear within an hour
lasts 2-6 hours

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11
Q

what are some other names for urticaria?

A

hives
wheals
nettle rash

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12
Q

what is angioedema?

A

localised swelling of subcutaneous tissue or mucous membranes

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13
Q

what is anaphylaxis?

A

a severe and life threatening hypersensitivity reaction

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14
Q

what investigations are done for a type I allergy?

A

history
specific IgE
skin prick test
challenge test

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15
Q

what is measured during anaphylaxis?

A

serum mast tryptase levels

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16
Q

what medications can be given to manage allergies?

A

anti histamines
corticosteroids
adrenaline autoinjector
mast cell stabilisers

17
Q

what do anti histamines do?

A

prevent the effects of mast cell activation

18
Q

what dose of adrenaline should be prescribed for anaphylaxis in an adult?

A

300ug

two pens of this

19
Q

what dose of adrenaline should be prescribed for anaphylaxis in a child?

A

150ug

two pens

20
Q

name a mast cell stabiliser

A

sodium cromoglycate