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18 Cards in this Set
- Front
- Back
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What do you do if you see a pt. who is allergic to PCN and suddenly develps hypoTN, tachycardia, and resp. prob.?
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Give SQ epi
Corticosteroids and Anti-histamine (Benedryl, or hydroxyzine) |
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What do you do if you have a pt. that was hit in the face with a ball and developed facial swelling of the mouth, tongue and had difficulty breathing?
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FFP infusion in acute situation
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What is the diagnostic test to look for in a pt. who was hit with wood chips on the arm adn developed facial swelling, palate, and tonugue? why would you find this?
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Diagnose with finding low level in the complement pathway of C2 and C4.
C1 Esterase Inhib defic |
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What do you treat chronically with for a Angioedema pt? Why do you give this medication
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Androgens--Danazol and Stanazol
Androgens increase the C1 esterase inhibitor levels |
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w'hat do you do if you have a pt. that has tertiary syphyllis adn is on B-blockers and allergic to PCN?
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discontinue the b-blockers b/c you have to treat tertiary syphyllis with PCN and during desensitization that pt. may develop anaphylaxis (treat with SQ epi, hydrocortisone, and benedryl or hydroxyzine). and epi and B-blockers counteract one another
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What is the treatment of allergic rhinitis?
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Avoid the allergen
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What are some drug treatments that can me given for allergic rhinitis?
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Laratadine, Fexofenadine, Cetirizine
Topical CS Nasal saline spray and wash Cromolyn Ipratoropium bromide MOnteleukast |
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If a pt. comes with recurrent sinopulm infection and has abdominal pain with steatorrhea, and diarrhea what defic. should you think of ?
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Common Variable Immunodef.
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What do you do to diagnose a Common variable immunodef?
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Look for LOW total IgG
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Waht is the treatment of CVID?
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Infusion of IV immunoglobulins
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What if you see a male pt. with recuurent sinopulm infections but no abdominal pain or sprue...what are you thinking?
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Bruton's agammaglobinemia
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How do you diagnostically determine Brutons?
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Look at physical and see that spleen, LN, nd adenoids are SMALL or absent...so B-cells are missing
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What do you treat Brutons' with?
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Immunoglobulin infusion
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What is the most common immunodeficiency?
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IgA Def.
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What if you see reccurent sinopulm infections with abdominal sprue (steatorrhea, diarrhea) and atopic conditions. some present with anaphylaxis...what are you thinking?
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IGA Defic
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What is the treatment of IgA defic?
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Treat the infection
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What if you see a pt. with recurrent SKIN infections from Staph...what should you think?
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Hyper IgE syndrome
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What is the treatment of recurrent skin infections from Staph?
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treat the infection as they arise
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