Angioedema Flashcards

(13 cards)

1
Q

What is angioedema?

A

sudden swelling of the face, tongue, eyes and airway

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2
Q

What is a common cause of Angioedema?

A

C1 Esterase Inhibitor Deficiency

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3
Q

What is the onset of angioedema associated with?

A

Minor physical trauma or the recent start of ACE-I

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4
Q

What is hereditary angioedema characterized by?

A

Sudden facial swelling and stridor without pruritus and urticaria

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5
Q

What treatments does hereditary angioedema not respond to?

A

Glucocorticoids or Epinephrine

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6
Q

What are the best initial tests for angioedema?

A

Decreased levels of C2 and C4

deficiency of C1 esterase inhibitor

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7
Q

What is the first step in managing angioedema?

A

Ensure the airway

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8
Q

What are management options for Acute attacks?

A

Fresh Frozen Plasma, Ecallantide and Icatibant

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9
Q

What is the mechanism of Ecallantide?

A

Kallikrein inhibitor

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10
Q

What is the mechanism of Icatibant?

A

Bradykinin B2 receptor antagonist

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11
Q

What can be used for prophylaxis before surgical and dental procedures?

A

Antifibrinolytics: Tranexamic acid: decrease C1 and bradykinin

Androgens: Danazol, Stanazol

Infusion of C1 esterase inhibitor

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12
Q

What is the mechanism of Lanadelumab for Angioedema?

A

Ab against Kallikrein

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13
Q

What do you use to treat Herditary angioedema with severe laryngeal involvement?

A

C1 Esterase Inhibitor concentrate

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