Allergy In Childhood Flashcards

1
Q

Food intolerance is?

A

NOT immune-mediated
But reproducible

Eg. Lactose intolerance
Alcohol
Toxins

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2
Q

Food Allergy is?

A

Immune-mediated

IgE: peanuts

or non-IgE - cow’s milk protein

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3
Q

Big 8 food allergy S

A
Egg
Milk
Soy
Wheat
Peanuts
Tree nuts
Fish
Shellfish
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4
Q

High risk groups for anaphylaxis

A
Older age
BB/ ACEi
Hx of anaphylaxis, 
Multiple food and drug allergy
Underlying Lung disease
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5
Q

Interpretation of +ve skin prick test?

A

Must correlate with history, and if in doubt, need to do food challenge test

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6
Q

Management of allergy

A
Anti-histamine S
Cool compress
Observation
Identify trigger
Allergy action Plan
Education
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7
Q

Non IgE manifests typically? When?

A

GI and Skin
Hours to days later
Hard to identify

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8
Q

Food protein induced Enterocolitis looks like?

A

Meningococcal sepsis. But they recover very quickly after treatment due to fluid boluses

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9
Q

Eosinophilia oesophagitis features?

A

Regurg
PPI resistant epigastric pain
Food impaction
Failure to thrive

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10
Q

Risk factor for anaphylaxis for stings?

A

If previous anaphylaxis to something else

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