al-rhinitis - Allergic Rhinitis Kirk H. Waibel CPT, MC...

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Allergic Rhinitis Kirk H. Waibel CPT, MC Walter Reed Army Medical Center
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Objectives Understand importance of allergic rhinitis Recognize variation in allergic symptoms Apply appropriate treatment strategies
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My child has allergies! Pathophysiology History Physical Exam
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Allergen
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History Onset of symptoms Infant less than 3 years old Older child Symptoms Headache - Ocular Nasal - Oral Pruritis Sneezing Congestion Postnasal drip Rhinorrhea
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History Frequency Perennial (cat, dog, dust mite, cockroach, molds) Seasonal (trees, grass, weeds) Severity School absence Loss of smell Behavioral changes Comorbid conditions
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Physical Exam Eyes Ears Nose Oropharynx Lungs
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Differential Diagnosis Upper respiratory infection Chronic sinusitis Anatomical nasal obstruction Concha bullosa - Nasal polyps Deviated nasal septum - Adenoidal hypertrophy GERD
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Should you refer for skin testing? YES
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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al-rhinitis - Allergic Rhinitis Kirk H. Waibel CPT, MC...

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