Allergy OME

Question 1

pt with hypotension, hives, wheezing. tx? additional tx?

Answer 1

anaphylaxis!

1:1000 epi IM immediatly! then can do H1/H2 blocks and albuterol to help after epi

Question 2

Pt presents w/a wheel, erythema and is normotensive. dx? tx?

Answer 2

urticaria, tx w/ removal of offending agent, 2nd gen H1 blockers(cetirizine, loratadine, fexofenadine)

Question 3

pt presents with swelling of airway + generalized edema n shit, hx of C1 esterase def. dx? tx?

Answer 3

angioedema = c1 esterase or acei is causing this(usually)

tx: remove, intubate, H1/H1 blocks and if hereditary angioedema = FFP

Question 4

pale boogy nasal mucosa, polyps, cobblestoning in posterior oropharynx…what is this describing?

Answer 4

allergic rhinitis

Question 5

what are allergic shiners?

Answer 5

venous congestion underneath the eyes

Question 6

What is the allergic salute?

Answer 6

transverse nasal crease

Question 7

what is zyrtec?

Answer 7

Cetirizine = 2nd gen H1 blocker

Question 8

what is Claritin?

Answer 8

Loratidine = 2nd gen H1 blocker

Question 9

Flonase & Nasacort are….

Answer 9

Flonase = flucortizone, nasacort = steroid

*both are intranasal steroids for allergic rhinitis

Question 10

tx of allergic conjunctivitis?

Answer 10

artificial tears, mast cell stablizes and antihistamines

Question 11

what food allergies will kids often get over as they grow up?

Answer 11

wheat, soy, milk, eggs

Question 12

what food allergies are kids at higher risk of developing anaphlaxis too?

Answer 12

nuts, fish

Question 13

how do food allergies often present?

Answer 13

NVDiarrhea

Question 14

7 month old w/bloody stool, FTT, vomiting, poor feeding. Babys on formula. dx? tx?

Answer 14

Milk-Protein Allergy = Ask what type of formula! its prob soy based = switch to cows milk untill 2-3 yoa