Allergy & Immunology

Question 1

DIAGNOSIS- RASH, HYPOTENSION, ACUTE SHORTNESS OF BREATH, ALLERGIES

INITIAL TREAT-

Answer 1

ANAPHYLAXIS

EPINEPHRINE, ANTIHISTAMINES H1 AND H2?*, GLUCOCORTICOIDS,ME-PREDNISOLONE OR HYDROCORTISONE, EMERGENT AIRWAY

Question 2

DIAGNOSIS- SWELLING FACE, TONGUE, EYES, AIRWAY

INITIAL TEST-
INITIAL TREAT-
NEXT STEP- CHRONIC

Answer 2

ANGIOEDEMA

COMPLEMENT C2,C4 AND C1 ESTERASE INHIBITOR

ENSURE AIRWY, FRESH FROZEN PLASMA OR ECALLANTIDE

ANDROGENS- DANAZOL AND STANAZOL

Question 3

DIAGNOSIS- ACUTE SWELLING OF SUPERFICIAL LAYERS OF SKIN BY MEDS,INSECTS,PRESSURE, COLD, VIBRATION

INITIAL TREAT-

Answer 3

URTICARIA

ANTIHISTAMINE, LEUKOTRIENE RECEPTOR ANTAGONIST

Question 4

DIAGNOSIS- WATERY ITCHY EYES, NOSE AND PALE OR VIOLACEOUS TURBINATES, NASAL POLYPS

INITIAL TEST
INITIAL TREAT

Answer 4

ALLERGIC RHINITIS

CLINICAL, BLOOD IGE AND SKIN TESTING

PREVENTION, INTANASAL CORTICOSTEROIDS, ANTIHISTAMINE, IN-ANTICOL., DESENSITIZATION

Question 5

DIAGNOSIS-RECURRENT SINOPULMONARY INFECTIONS IN ADULTS, AUTOIMMUNE DISEASES BUT NORMAL LYMPHOID TISSUE

INITIAL TEST-
P.ASS
INITIAL TREAT-

Answer 5

COMMON VARIABLE IMMUNODEFIECIENCY

IMMUNOGLOBULIN LEVELS ARE DECREASED AND LOW B-CELL RESPONSE

LYMPHOMA

ANTIBIOTICS FOR INFECTIONS, IMMUNOGLOBULINS

Question 6

DIAGNOSIS- RECURRENT SINOPULMONARY INFECTION MALE CHILD, ABSENCE OF LYMPH TISSUES, NORMAL T-CELLS

INITIAL TREAT-

Answer 6

BURTONS AGAMMAGLOBULINEMIA

ANTIBIOTICS FOR INFECTIONS, IMMUNOGLOBULINS

Question 7

DIAGNOSIS- BABY (6MO) WITH RECURRENT SINOPULMONARY INFECTIONS, AIDS LIKE INFECTIONS

INITIAL TREAT

Answer 7

SCID

ANTIBIOTICS FOR INFECTIONS, BONE MARROW TRANSPLANT

Question 8

DIAGNOSIS- RECURRENT SINOPULMONARY INFECTIONS, ATOPIC DISEASES, ANAPHYLAXIS TO BLOOD TRANS., AUTOIMMUNE DISEASES

INITIAL TREAT-

Answer 8

IGA DEFICIENCY

ANTIBIOTICS FOR INFECTIONS, ONLY IGA DEFICIENT BLOOD DONORS

Question 9

DIAGNOSIS- RECURRENT SKIN INFECTIONS

INITIAL TREA

Answer 9

HYPER IGE

PROPHYLACTIC DICLOXACILIN OR CEPHALEXIN

Question 10

DIAGNOSIS- IMMUNODEFICIENCY, THROMBOCYTOPENIA, ECZEMA

INITIAL TREAT

Answer 10

WISKOTT ALDRICH SYNDROME

BONE TRANSPLANT

Question 11

DIAGNOSIS-EXTENSIVE INFLAMATORY REACTIONS, APHTHOUS ULCERS, INFLAMED NARES, PURULENT LYMPH NODES, GRANULOMAS IN GI OR GU

P.ASS
INITIAL TEST

Answer 11

CGD

STAPH, BURKHOLDERIA, NOCARDIA, ASPERGILLUS

NITROBLUE TETRAZOLIUM TESTING-DOES NOT CHANGE COLOR