IgE mediated food allergy

Question 1

symptoms include?

Answer 1

GI- vomiting/ pain/ diarrhoea
Skin- urticaria/ angioedema/ pruritis
Resp- rhinoconjunctivitis/ wheeze/ cough/ stridor
Anaphylaxis and collapse

= more acute

Question 2

non IgE mediated food allergy symptoms

Answer 2

Vomiting, diarrhoea, abdo pain, reflux, poor feeding, failure to thrive, eczema

• no specific
• can be over a number of days

Clinical suspicion, allergy focussed history and empirical trial of elimination diet

Question 3

Milk free diets .. dietetic referral if diet is ongoing by what age ?

Answer 3

12 months

Question 4

what age do we consider milk challenge?

- what do we start with?

Answer 4

1 year/ or 6 months off milk

• baked milk in biscuit

Question 5

young baby < 6 months (bottle fed) with bad severe eczema .. first line approach?

Answer 5

steroids
amoliants
- trial of hydrolysed feed - if associated with go symptoms and FTT

Question 6

Atopic eczema and diet - children on a a milk free diet for more than 8 weeks should be?

Answer 6

referred to a dietitian

Question 7

reflux and milk allergy .. think about?

Answer 7

No or poor response to anti-reflux medications
Aversive feeding
Personal or family history of atopy

Question 8

Malrotation common in?

Answer 8

babies a Few weeks old

Question 9

duodenal/ intestinal atresia most common in

Answer 9

new borns - few days old

Question 10

most common cause of bilious vomiting in 11-12 month old?

Answer 10

Intussusception

Question 11

Management of bilious vomiting ?

Answer 11

Urgent surgical opinion
IV Access
IV Fluids
Nil by mouth
NG tube

Question 12

Investigations for bilious vomiting?

Answer 12

Abdominal x-ray

Contrast meal likely to be needed

Question 13

management of constipation - first line

Answer 13

stool softeners

- movicol , lactulose