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Allergic Triad

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1. Allergic Triad

Allergic Triad Allergic Triad Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Allergic Triad Allergic Triad Aka: Allergic Triad (...) ) These images are a random sampling from a Bing search on the term "Allergic Triad." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Allergic Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content

2018 FP Notebook

2. Allergic Triad

Allergic Triad Allergic Triad Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Allergic Triad Allergic Triad Aka: Allergic Triad (...) ) These images are a random sampling from a Bing search on the term "Allergic Triad." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Allergic Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content

2015 FP Notebook

3. Aural Polyps in Samter's Triad: Case Report and Literature Review. (PubMed)

Aural Polyps in Samter's Triad: Case Report and Literature Review. To review the literature on the occurrences of aural polyps in patients with Samter's triad with a focus on familiarizing clinicians with the clinical presentation and the etiologic and therapeutic issues of this entity.Published reports of otologic manifestations of Samter's triad were reviewed in conjunction with 1 case presenting at University of California at San Diego medical center.Academic, tertiary referral hospitalThe (...) patient underwent bilateral aural polypectomy, tympanoplasty, mastoidectomy, and placement of tympanostomy tubes, revealing substantial polypoid tissue growth filling the external ear canal, middle ear space, and Eustachian tube.Aural polyps associated with Samter's triad reported to date have been bilateral and are associated with conductive hearing loss, persistent otorrhea, and aural fullness. They also display a tendency to recur despite surgical resection. Histopathology in our patient confirmed

2012 Otology and Neurotology

4. Aspirin sensitivity syndrome (Samter's Triad): An unrecognized disorder in children with nasal polyposis. (PubMed)

Aspirin sensitivity syndrome (Samter's Triad): An unrecognized disorder in children with nasal polyposis. Aspirin sensitivity syndrome is an underdiagnosed entity in pediatric otolaryngology. The diagnosis must be considered in a pediatric non-cystic fibrosis patient with florid nasal polyposis. In this small case series, we will describe 2 patient's presentation, work up, allergic and surgical therapies and their postoperative course. In doing so, we hope to increase awareness

2012 International Journal of Pediatric Otorhinolaryngology

5. Epithelial cytokines and pulmonary allergic inflammation. (PubMed)

Epithelial cytokines and pulmonary allergic inflammation. The triad of epithelial derived cytokines, IL-25, IL-33 and TSLP are important for the initiation and development of pulmonary immune responses to environmental stimuli. Data from experiments using mouse models provide compelling evidence for their involvement in both innate and adaptive immunity to drive type-2 responses, allergic inflammation and airway remodelling. These cytokines are known to be expressed in human lung tissue (...) and immune cells, however their involvement in mediating allergic pulmonary responses in patients is less clear than in murine models of disease. This article focuses on evidence for the role of IL-25, IL-33 and TSLP in human allergic disease and discusses their potential as therapeutic targets for severe asthma. Copyright © 2015 Elsevier Ltd. All rights reserved.

2015 Current opinion in immunology

6. Allergic Rhinitis (Overview)

when they have allergy symptoms. Nasal symptoms and affect on work performance. Previous Next: Pathophysiology Understanding the function of the nose is important in order to understand allergic rhinitis (AR). The purpose of the nose is to filter, humidify, and regulate the temperature of inspired air. This is accomplished on a large surface area spread over 3 turbinates in each nostril. A triad of physical elements (ie, a thin layer of mucus, cilia, and vibrissae [hairs] that trap particles (...) Allergic Rhinitis (Overview) Pediatric Allergic Rhinitis: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODg5MjU5LW92ZXJ2aWV3 processing > Pediatric Allergic

2014 eMedicine Pediatrics

7. Allergic Fungal Sinusitis

is not as constant a feature in this condition as it is in allergic fungal sinusitis (AFS), but asthma is observed more frequently. Ferguson has suggested that this condition may represent a variant of the Samter triad. Previous Next: Epidemiology Frequency Approximately 5-10% of patients affected by chronic rhinosinusitis actually carry a diagnosis of allergic fungal sinusitis (AFS). Atopy is characteristic of the disease; approximately two thirds of patients report a history of allergic rhinitis, and 90 (...) Allergic Fungal Sinusitis Allergic Fungal Sinusitis: Practice Essentials, History of the Procedure, Problem Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODM0NDAxLW92ZXJ2aWV3 processing > Allergic Fungal

2014 eMedicine Surgery

8. Allergic Rhinitis (Diagnosis)

when they have allergy symptoms. Nasal symptoms and affect on work performance. Previous Next: Pathophysiology Understanding the function of the nose is important in order to understand allergic rhinitis (AR). The purpose of the nose is to filter, humidify, and regulate the temperature of inspired air. This is accomplished on a large surface area spread over 3 turbinates in each nostril. A triad of physical elements (ie, a thin layer of mucus, cilia, and vibrissae [hairs] that trap particles (...) Allergic Rhinitis (Diagnosis) Pediatric Allergic Rhinitis: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODg5MjU5LW92ZXJ2aWV3 processing > Pediatric Allergic

2014 eMedicine Pediatrics

9. Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome)

Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome) Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome) - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome) Last reviewed: February 2019 Last updated: November 2018 Summary Classic pathological triad of tissue eosinophilia, granulomatous inflammation, and vasculitis (...) of primary systemic autoimmune vasculitis characterised by inflammation of blood vessels. In EGPA, vasculitis is associated with asthma and eosinophilia. EGPA is also known as Churg-Strauss syndrome (CSS). Affected people may have perinuclear anti-neutrophil cytoplasmic antibodies (p-ANCA) directed against myeloperoxidase (MPO). These autoantibodies are more common in patients with more vasculitic manifestations, such as glomerulonephritis. History and exam history of asthma, allergic rhinitis

2018 BMJ Best Practice

10. Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome)

Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome) Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome) - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome) Last reviewed: February 2019 Last updated: November 2018 Summary Classic pathological triad of tissue eosinophilia, granulomatous inflammation, and vasculitis (...) of primary systemic autoimmune vasculitis characterised by inflammation of blood vessels. In EGPA, vasculitis is associated with asthma and eosinophilia. EGPA is also known as Churg-Strauss syndrome (CSS). Affected people may have perinuclear anti-neutrophil cytoplasmic antibodies (p-ANCA) directed against myeloperoxidase (MPO). These autoantibodies are more common in patients with more vasculitic manifestations, such as glomerulonephritis. History and exam history of asthma, allergic rhinitis

2018 BMJ Best Practice

11. Head and neck imaging

as the pharynx, larynx, and proximal trachea. Thyroid and parathyroid glands are also included. Disadvantages of CT include exposure to ionizing radiation and risks associated with infusion of iodinated contrast media, including allergic reactions or renal compromise. MRI orbit/face/neck utilizes protocols tailored to the clinical indication. Coverage may include facial structures; larynx and subglottic regions; nasopharynx, oropharynx and hypopharynx; neck soft tissues, surrounding the airway and glands (...) bacterial sinusitis from viral upper respiratory infection should not be performed as it does not contribute to the diagnosis. 7 For suspected orbital or central nervous system complications, a contrast-enhanced CT of the paranasal sinuses should be performed. 7 Chronic sinusitis is commonly due to nonstructural causes including asthma, gastroesophageal reflux disease, or allergic rhinitis. 8 The American College of Radiology indicates that CT is usually appropriate in pediatric patients with chronic

2019 AIM Specialty Health

12. Appropriate Use Criteria: Imaging of the Brain

, covering the entire calvarium and intracranial contents. Coverage may vary depending on the specific clinical indication. Disadvantages of CT include exposure to ionizing radiation and risks associated with infusion of iodinated contrast media, including allergic reactions or renal compromise. Magnetic resonance imaging (MRI) is preferable to CT in most clinical scenarios. It is the study of choice for visualization of brain parenchyma and white matter tracts. It is also preferred for imaging (...) is condition that results from a disruption of the sympathetic nervous supply to the eye and is characterized by the triad of miosis, ptosis, and anhidrosis. 63 Evaluation of Horner’s syndrome begins with a complete neurological and ophthalmological examination, which may reveal an etiology for the condition such as surgical trauma. Additional neurological features such as additional cranial nerve deficits may localize the pathology to the brain, in which case a sequential diagnostic testing strategy

2019 AIM Specialty Health

14. CRACKCast E120 – Dermatologic presentations

of the lesions Systemic illness Diagnostic tests Category of rash Infectious Immune Vascular Allergic Malignancy Treatment Core questions [1] List five broad categories of rashes Infectious Allergic Autoimmune Vascular Malignancy-related [2] Describe the primary skin lesion types (table) The primary skin lesions result directly from the disease process. Primary Lesions (For original table, see Rosen’s Table 110.1) Lesion Description Size Macule Flat circumscribed pigmented area <0.5cm in diameter Patch Flat (...) , malignancy, or treatment with corticosteroids, antibiotics, or immunosuppressive agents. [6] Describe the stepwise management of diaper dermatitis (list 4) “Contact dermatitis is an inflammatory reaction of the skin to a chemical, physical, or biologic agent, which acts as an irritant or allergic sensitizer. The primary lesions of contact dermatitis are papules, vesicles, and bullae on an erythematous base. Streaky, linear, intensely pruritic lesions are characteristic. A pattern in the region in contact

2017 CandiEM

15. CRACKCast E109 – CNS Infections

per day IV) > 50 yrs Ceftriaxone 2 g IV Vancomycin 15 mg/kg IV Consider ampicillin 100 mg/kg if concerned about Listeria (elders) If allergic to penicillins / cephalosporins: Meropenem 2 g IV Vancomycin 15 mg/kg IV Head trauma: Basilar skull fracture Vancomycin plus a third-generation cephalosporin Penetrating trauma Vancomycin plus cefepime, vancomycin plus ceftazidime, or vancomycin plus meropenem Post neurosurgery Vancomycin plus cefepime, chalcomycin plus ceftazidime, or vancomycin plus (...) status) Only 44% of pts in one study had the classic triad. (PMID) “The constellation of symptoms that may classically occur in an acute CNS infection consists of fever, headache, photophobia, nuchal rigidity, lethargy, malaise, altered sensorium, seizures, vomiting, and chills. However, good quality literature suggests that the absence of fever, stiff neck, and mental status change excludes meningitis in immunocompetent adults. A systematic review of prospective data in children found clinical

2017 CandiEM

16. CRACKCast E090 – Liver and Biliary Tract

of hepatitis D? An infection that only occurs in people with Hepatitis B that actively produce HBsAg (chronic HBV infection). Superinfection of HBV-HDV can occur leading to fulminant hepatitis. 3) Describe the post-exposure prophylaxis for exposure to HepA, HepB, HepC Post-exposure Prophylaxis Notes Hepatitis A — Rarely give it! ISG, 0.02 ml/Kg IM HAV Immunoglobulin reserved for: ● Immune-naive patients with increased risk from hepatitis ● Allergic to HepA vaccine ● Close personal contacts ● Day care (...) , bacteroides. Presentation: Fevers, chills, nausea, vomiting, abdominal pain Charcot’s Triad: RUQ pain, fever, jaundice (also applies to hepatitis and cholecystitis!) Reynold’s Pentad: Charcot’s Triad + hypotension and altered mental status Ultrasound in cholangitis shows dilated common bile ducts/intrahepatic ducts (unlike cholecystitis which should have normal ducts). CT may be preferred imaging for emphysematous cholecystitis or hemorrhagic cholecystitis. Management: Resuscitation Fluids, lytes

2017 CandiEM

17. CRACKCast E082 – Pericardial & Myocardial Disease

occur post PE and post-surgery NO anticoagulants – because of risk of hemorrhage Ibuprofen or Indomethacin 6) What is the pathophysiology of cardiac tamponade? Describe the mechanism of hypotension in pericardial tamponade and list 4 expected findings on physical examination. Beck’s Triad: JVD; hypotension, muffled heart sounds Look for electrical alternans or pulsus paradoxus Remember: Commonly seen in CANCER, TRAUMA and UREMIA Comes down to nature of fluid, rate of accumulation and state (...) presents with an ECG that looks like an ACUTE MI, elevated biomarkers, CHF or dysrhythmias Infectious Advenovirus Parvovirus 19 herpes virus 6 CMV Toxoplasma gondii Chagas disease (#1 cause in south america) Coxsackie B virus Influenza Non-infectious Drug related (ETOH, chemo drugs) Allergic reactions (post antibiotics) Chemicals (arsenic) 21) Describe the stages of viral myocarditis and the management at each stage Supportive management is key Acute : The necrosis from the virus invading the myocytes

2017 CandiEM

18. CRACKCast E071 – Ophthalmology Part A

SYSTEMIC extension of the infections require IV abx 4) Describe typical features of conjunctivitis and management options Conjunctivitis #1 cause of a red eye Symptoms: Redness, FB sensation, lid swelling, eye crusting, drainage NO photophobia, NO visual loss Caseus: Viral, bacterial, mechanical, allergic, toxic Called KERATOconjunctivitis when the cornea is involved as well Most commonly viral Bacterial causes: Pneumoniae, H. influenzae, Staph, Moraxella, Neisseria gonorrhoeae, Klebsiella, Pseudomonas (...) cause of conjunctivitis (Adenovirus, and others) Symptoms: MORE redness and itching and eye irritation Watery –> purulent d/c Pre-auricular lymphadenopathy Concurrent viral illness Very contagious up to 12 days post onset Treatment: Artificial tears Cool compresses Handwashing Use ABX if NO improvement of symptoms after 72 hrs Allergic conjunctivitis IgE mediated To any allergen (chemical, cosmetics, environmental) Symptoms: Bilateral eye itching Glassy chemosis Watery discharge Treatment

2017 CandiEM

19. Renal Mass and Localized Renal Cancer

triad” of symptoms associated with a malignant renal mass include hematuria, flank pain and abdominal mass. Symptoms associated with RCC are often a result of local tumor growth, hemorrhage, paraneoplastic symptoms, or metastatic disease and are uncommon in patients with clinically localized disease. In fact, less than 5 percent of patients in contemporary series present with these symptoms and greater than 50 percent of renal masses are diagnosed incidentally during an evaluation for unrelated (...) This may be done by Computed Tomography (CT) or Magnetic Resonance Imaging (MRI). 89 In rare instances RCC may demonstrate macroscopic or microscopic fat density on imaging and even pathologically, but this is the exception rather than the rule. 90 The risks and benefits of the diagnostic study should be considered, including risks of radiation exposure (CT) and contrast administration (gadolinium-induced nephrogenic systemic fibrosis and contrast-induced nephropathy or allergic reaction). Patients

2017 American Urological Association

20. CRACKCast E006 – Shock in the ER

is often life threatening if not treated urgently (SEVERE form of an allergic reaction) Central Neurogenic Shock this is NOT the same as spinal shock (more to come in future episodes) usually a diagnosis of EXCLUSION caused by an injury to the cervical or thoracic vertebrae causing peripheral sympathetic denervation look for the classic TRIAD : hypotension, bradycardia, and warm extremities Drug Overdose Due to a sympatholytic or sedative drug e.g. clonidine, TCA, mixed narcotic/benzo Adrenal Crisis

2016 CandiEM

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