Ears tested in school last fall and rated normal

Ears : Tested in school last fall and rated normal.
Extremities : Lesions as described in chief concern.
PHYSICAL EXAMINATION:
Height : 60 inches (50th percentile). Weight : 170 pounds (96th percentile). BMI: 35
Blood Pressure : 120/60.
General Appearance : Obese 13-year-old with obvious lesions on flexor surfaces of both
arms.
Head : Normocephalic; scattered reddened papules on chin.
Eyes : Red reflex present. Follows to all fields of gaze. Able to read small print without
difficulty.
Ears : TMs pink; landmarks present. Good alignment.
Nose : Midline septum; mucous membrane swollen and pale; clear nasal discharge
present; horizontal crease across nose.
Mouth and Throat : 30 teeth present; one cavity in left lower molar. Geographic tongue
observed.

Neck : Midline trachea; full range of motion present.
Lungs : Occasional rhonchi in upper lobes; respiratory rate: 20 breaths per minute.
Heart : Rate: 80 beats per minute. No murmurs.
Abdomen : Soft; no masses. No tenderness on palpation.
Genitalia : Normal preadolescent female. Tanner 2.
Extremities : Area 3 x 5 on flexor surfaces of both arms and legs at elbows and knees
covered by white scales on erythematous base. Linear abrasions apparently from
scratching also present. Full range of motion in joints present.
Neuro : Patellar reflex 2+. Sensory and motor nerves grossly intact.
Sarah is diagnosed as having both allergic rhinitis and atopic dermatitis. Her
pediatrician suggests that her mother begin some environmental control in their home.
CARE STUDY QUESTIONS:
1. Sarah is a child prone to allergies. A term to describe such children is
2. Which antibody and white blood cell are most apt to be elevated in children with
allergies?