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Pediatrics > Allergy > Flashcards

Flashcards in Allergy Deck (11):
1

Presentations of allergy

1. Atopy
2. Asthma
3. Food intolerance
4. Allergic conjunctivitis
5. Hay fever
6. Anaphylaxis
7. Eczema
8. Contact dermatitis

2

Typical age of presentation of atopy

1. Eczema in infant, preschooler
2. Food allergy in toddler, preschooler
3. Asthma in young children
4. Hay fever in adolescents

3

Management of allergic conjunctivitis

1. Sodium cromoglicate drops
2. Topical antihistamines

4

History

1. Family history of atopy
2. Eczema in infancy
3. Obvious trigger
4. Full dietary history
5. Allergen avoidance thus far
6. History of drug allergies
7. Treatments needed in the past? Adrenalin?
8. How much of life affected by allergies

5

Examinations

1. Airway
Swollen lips
Stridor
Swollen tongue
Nasal congestion
2. Breathing
Respiratory distress
Status asthmaticus
3. Circulation
CRT
Evidence of shock
BO
4. Skin
Urticaria
Vesicles
Angioedema

6

Investigations

1. RAST
2. IgE testing
3. PEFR, Lung FTs in asthma, reversibility
4. Controlled allergen challenge

7

How common is atopy

1. Affects one in 4 children

8

Mechanism of sodium cromoglycate

1. Mast cell stabiliser

9

Most common food allergies in infants/small children

1. Cows milk protein
2. Eggs
3. Peanut

10

Management of a food allergy

1. Exclude foo allergen, usually for 2 years
2. Consider controlled challenge
3. Dietician review
4. Anaphylaxis plan if required
5. Medic alert bracelet
6. Annual review
7. Epipen

11

Basic overview management of anaphylaxis

1. Remove allergen
2. ABC
3. IM adrenalin
4. Oral antihistamines
5. IV Hydrocortisone

Decks in Pediatrics Class (58):