Allergic Rhinitis
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IgE mediated diseases in response to triggers. Common triggers can be
seasonal such as grass, pollens, and mold. Persistent allergic triggers
include dust mites and animal dander
Subjective: pruritis of nasal passages, conjunctiva, and roof of mouth,
sneezing coughing, sore throat, seasonal presentation, usually pollen
related
Objective: nasal turbinates edematous
OTC: Antihistamines - PO or Nasal spray
Diphenhydramine, loratidine, cetirizine, fexofenadine
Anticholinergic nasal spray: Ipratropium bromide
Nasal saline flush post exposure
Allergic exposure avoidance
, Allergic conjunctivitis:
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IgE mediated disease in response to triggers. Common triggers can be
seasonal such as grass, pollens, and mold. Persistent allergic triggers
include dust mites and animal dander.
Bilateral, itchy red eyes with rope like discharge and clear nasal discharge
Bilateral injected conjunctiva, clear discharge
Treatment based on identification and limiting exposure to allergen.
Medications include cromolyn ophthalmic drops, oral antihistamines,
antihistamine eye drops
Bacterial conjunctivitis:
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Common bacteria include: Staphylococci, streptococci, chlamydial
organisms and gonococci.
Some bacterial causes can be quite serious.
Gonococcal conjunctivitis can result in blindness and can indicate
underlying systemic infection.
Usually unilateral, red and irritated
Eyelids are "stuck together" upon awakening.
Injected palpebral and bulbar conjunctiva, purulent drainage
Treatment is provided to decrease spread of contagion and shorten course
of illness.
Eye drop treatments include Polymixin B plus trimethoprim or azithromycin.
Headache assessment red flags
Give this one a try later!
Give this one a try later!
IgE mediated diseases in response to triggers. Common triggers can be
seasonal such as grass, pollens, and mold. Persistent allergic triggers
include dust mites and animal dander
Subjective: pruritis of nasal passages, conjunctiva, and roof of mouth,
sneezing coughing, sore throat, seasonal presentation, usually pollen
related
Objective: nasal turbinates edematous
OTC: Antihistamines - PO or Nasal spray
Diphenhydramine, loratidine, cetirizine, fexofenadine
Anticholinergic nasal spray: Ipratropium bromide
Nasal saline flush post exposure
Allergic exposure avoidance
, Allergic conjunctivitis:
Give this one a try later!
IgE mediated disease in response to triggers. Common triggers can be
seasonal such as grass, pollens, and mold. Persistent allergic triggers
include dust mites and animal dander.
Bilateral, itchy red eyes with rope like discharge and clear nasal discharge
Bilateral injected conjunctiva, clear discharge
Treatment based on identification and limiting exposure to allergen.
Medications include cromolyn ophthalmic drops, oral antihistamines,
antihistamine eye drops
Bacterial conjunctivitis:
Give this one a try later!
Common bacteria include: Staphylococci, streptococci, chlamydial
organisms and gonococci.
Some bacterial causes can be quite serious.
Gonococcal conjunctivitis can result in blindness and can indicate
underlying systemic infection.
Usually unilateral, red and irritated
Eyelids are "stuck together" upon awakening.
Injected palpebral and bulbar conjunctiva, purulent drainage
Treatment is provided to decrease spread of contagion and shorten course
of illness.
Eye drop treatments include Polymixin B plus trimethoprim or azithromycin.
Headache assessment red flags
Give this one a try later!
