Term
|
Definition
| inflammation of the nasal mucous membrane |
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Term
|
Definition
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Term
|
Definition
| infectious or idiopathic or vasomotor |
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Term
|
Definition
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Term
|
Definition
| one of top ten reasons to present to primary care clinician |
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Term
|
Definition
| affects 100% of population |
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|
Term
| guides therapy with chronic rhinitis symptoms |
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Definition
| determining etiology or allergens |
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|
Term
| allergic rhinitis incidence |
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Definition
| highest in people ages 15-25 yo |
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Term
|
Definition
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Term
|
Definition
| symptomatic disorder of the nose induced by IgE-mediated inflammation after allergen exposure |
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Term
| symptoms of allergic rhinitis |
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Definition
| rhinorrhea, nasal obstruction, nasal itching, sneezing |
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Term
| comorbidities of allergic rhinitis |
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Definition
| asthma, conjunctivitis, rhinosinusitis |
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Term
|
Definition
| tree pollen, grass pollen, weed pollen |
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|
Term
| perennial allergic rhinitis |
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Definition
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Term
|
Definition
| dust mite fecal proteins, animal dander, cockroaches, mold |
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Term
|
Definition
| production of IgE directed at specific proteins |
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Term
|
Definition
| histamine, chemical modulators, arachidonic acid metabolites |
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Term
|
Definition
| release of the contents of granules into the extracellular space |
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Term
| early phase response of allergic reaction |
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Definition
| sneezing, pruritis, increased vascular and mucosal permeability, smooth muscle contraction, influx of inflammatory cells, mucous secretion, chemotaxis, decreased airway permeability |
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|
Term
| late phase response of allergic reaction |
|
Definition
| infiltration and activation of migrating cells, sinus passage obstruction, hyperresponsive inflamed mucosa |
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|
Term
| diagnostic signs of the eyes |
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Definition
| allergic shiners and watery eyes |
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|
Term
| diagnostic signs of the nose |
|
Definition
| transverse nasal crease, pale, blue edematous turbinates, clear, watery nasal discharge (bilateral) |
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Term
|
Definition
| microscopic exam shows eosinophils |
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|
Term
| diagnostic signs of the TM |
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Definition
| retracted or bulging due to blockage of the eustachian tube |
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|
Term
| diagnostic signs of allergic rhinitis |
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Definition
| lymphoid hyperplasia, cough, pain in all of the sinuses upon deep palpation |
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|
Term
| angle that skin is pricked |
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Definition
|
|
Term
| angle that skin is punctured |
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Definition
|
|
Term
| when the positive control is read in allergy testing |
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Definition
|
|
Term
| when the allergens are read in allergy testing |
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Definition
|
|
Term
| positive negative control |
|
Definition
| dermagraphism from phenolated glycerol/saline |
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|
Term
| negative positive control |
|
Definition
| medication reaction or hypoactive skin from histamine hydrochloride |
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|
Term
| 0 grade in allergy testing |
|
Definition
| no reaction - 1-3 mm wheal |
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|
Term
| 5+ grade in allergy testing |
|
Definition
| erythema with >10 mm wheal and pseudopods |
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|
Term
| 3 ways to treat allergic rhinitis |
|
Definition
| avoidance of identified allergens, pharmacotherapy, or immunotherapy |
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|
Term
| most likely reason for positive skin prick |
|
Definition
| cats, then dust mites, then dogs |
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|
Term
| intranasal corticosterioid |
|
Definition
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|
Term
|
Definition
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|
Term
|
Definition
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|
Term
|
Definition
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Term
|
Definition
|
|
Term
|
Definition
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Term
|
Definition
|
|
Term
|
Definition
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|
Term
| % pts symptomatic >4mo/yr; >9mo/yr |
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Definition
|
|
Term
|
Definition
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|
Term
|
Definition
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|
Term
|
Definition
|
|
Term
| % with allergic component; non-allergic component |
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Definition
|
|
Term
| 6 predisposing factors for AR |
|
Definition
| asthma, atopic dermatitis, FH of allergy, exposure to 2nd hand smoke, occup/enviro exposures, early intro of food/formula |
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Term
|
Definition
| atopic ezcema/food allergies > asthma/perennial rhinitis > seasonal rhinitis/conjunctivitis |
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|
Term
| Pollen allergen in spring |
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Definition
|
|
Term
| Pollen allergen in spring-late summer |
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Definition
|
|
Term
| Pollen allergen in late summer-early fall |
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Definition
|
|
Term
| AR have inherited predisposition to |
|
Definition
| phenotype 2 helper T2 cells |
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|
Term
| How long before late phase response occurs? |
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Definition
|
|
Term
| Predominant source of histamine in early phase |
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Definition
|
|
Term
| Predominant source of histamine in late phase |
|
Definition
|
|
Term
| Indications for allergy testing |
|
Definition
| chronic/recurrent symptoms, symptoms not controlled by avoidance/meds, need for immunotherapy |
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