ABIM Allergy Immunology Review 2014 . Richard D. deShazo, MD with thanks to the many colleagues from whom I have borrowed material. Questions:. What are the major diagnostic criteria for asthma?. How can you separate asthma from COPD?.
Richard D. deShazo, MD with thanks to the many colleagues from whom I have borrowed material
What are the major diagnostic criteria for asthma?
What test should be considered in a young asthmatic female with recurrent episodes of wheezing poorly responsive to bronchodilators?
Flow volume loops showing maximum inspiratory and expiratory flow-volume relationships in a patient with vocal cord dysfunction during asymptomatic (left) and symptomatic (right) periods. Note also the marked adduction of the vocal cords with severe reduction of the glottic aperture during a symptomatic period (right) of airway obstruction.
What is the likely diagnosis in a man with persistent cough, shortness of breath, dyspnea, and episodic wheeze that developed after working as a police officer in the 9/11 exposure area in NYC?
A 22 year old with recent onset cough and wheeze works in a custom sailboat shop in Biloxi sealing the inside of boats with epoxy resins. What is the most likely low molecular weight chemical causing his symptoms?
A 50 year old woman with asthma and atopic dermatitis has her 3rd episode of food impaction. What findings should be sought from endoscopy to confirm the diagnosis?
A 50 year old bird breeder has persistent shortness of breath, cough, and dyspnea. What should be done?
A 30 year old nurse has a severe chronic dry and cracking dermatitis of both hands. What should you do first?
Patch testing can detect both irritant and allergic contact dermatitis, if the tests are read at appropriate times. Consider a patch test a TB skin test. Positive results are erythema and induration maximum at 24-48 hours.
Most Frequently Positive Patch -Test Results
in Allergic Contact Dermatitis
A 16 year old male with asthma has a chronic pruritic dermatitis in the flexural areas of his elbows and knees. What treatment would be best for this problem?
Atopic dermatitis with involvement of a flexural surface. The frequently involved anticubital and popliteal fossae.
An adult presenting with eczematous dermatitis with an erythrodermatous appearance by skin biopsy with genetic studies
Diagnosis of Selected Causes of Erythroderma
Palpable purpura is a clinical sign of a small vessel (leukocytoclastic) vasculitis which may present as chronic urticaria.
A 68 year old female with chronic mylogenous leukemia presents with non itchy swelling of the lips and throat. What diagnostic tests would be most useful to diagnose acquired angioedema?
What should be prescribed for a patient after treatment for acute anaphylaxis and how should it be used?
Common Drug Reaction Patterns
A 21 year old college student has recurrent sinupulmonary infections. What test in addition to HIV should be performed to exclude immunodeficiency?
What dietary pattern do bedbugs follow?
Occur in a Series
“Breakfast, lunch, and dinner”
Lesions are usually painless and appear as pruritic, urticarial-like papules.
Bedbugs are nocturnal, hiding in cracks and crevices within 10 feet of a bed and especially on the cords of the mattress during the day and biting at night.