Pediatrics Recalls By Subject – Allergy

A 6-year-old boy, who suffers from a recurrent itching rash in body folds areas since his first year of life (photo below). In addition, he experiences multiple episodes of nocturnal itching. In the past he had cow milk protein allergy.

Which of the following is the most appropriate treatment? 

A child is diagnosed with atopic dermatitis. He is referred for examination due to the rash in the photos.

Which of the following is the most appropriate treatment?

A 17-year-old boy presents with shortness of breath and nausea starting a few minutes after being stung by a bee. His examination includes blood pressure of 65/40, and a heart rate of 140 per minute. He improved after been treated with an adrenaline injection. He has been stung by bees twice before without a systemic reaction.
His blood test is significant for increased anti bee venom IgE levels.

Which of the following is the best approach?

A 13-year-old boy presents to the emergency room due to ankle and calf pain, dizziness and pharyngeal pain, that started 20 minutes before, while walking in the forest.
Examination reveals flushing, blood pressure 70/40, heart rate of 130/min, respiratory rate of 30/min, saturation 95% in room air, and the finding in the picture attached.

Which of the following is the mandatory immediate treatment in this case?

A 16-year-old girl presents with facial swelling and shortness of breath which appeared the same morning, and had become worse over the last hours. Her history is positive for a few events of facial swelling that resolved spontaneously. Examination reveals findings in the attached pictures, heart rate of 125/min, respiratory rate of 25 breaths/min, blood pressure 110/75, saturation of 96% in room air, and non-pitting edema of the face, tongue, oral mucosa, and larynx.

Which of the following is the most likely finding in her blood work?

A 10-months-old baby was diagnosed with cow milk protein allergy at 3 months of age due to bloody stools. Skin test and milk protein IgE in the serum were negative at the time of diagnosis.

Which of the following will best determine if the infant is still allergic to cow milk protein?

A 4-month-old girl, until now has been exclusively breastfed, is brought for examination due to bloody stools. On examination – gaining weight well, vital, soft abdomen, no signs of anal fissure. Stool PCR negative for enteropathogens. The mother indicates that for the past few weeks, she has been fed infant formula.

What is the most recommended treatment in this case?

A 9-year-old boy was stung by a bee and arrives at the emergency department with widespread redness on the surface of the skin, itching, and general weakness. On admission: pulse 190, blood pressure 60/40 mmHg, 40 breaths per minute, saturation 90%, capillary refill of 1 second.

What will be the immediate next step in the treatment?

A 9-months-old baby with atopic dermatitis develops the extensive rash demonstrated in the picture.

Which of the following is the most recommended treatment?

A 4-year-old girl has had 5 episodes of wheezing and shortness of breath over the last year. She has been treated with bronchodilators and inhaled steroids as an outpatient. Her recent chest x-ray is normal.

Which of the following predicts continuous symptoms into adulthood?

A 5-year-old boy with cystic fibrosis presents with recent respiratory deterioration, including exercise intolerance, and exacerbated cough and sputum. Auscultation reveals wheezing and pulmonary function tests reveal deterioration compared to the previous test. There is no evidence of viral disease. He is treated with steroids, and laboratory results include increased IgE and eosinophils.

Which of the following, in addition to steroids, is the most appropriate treatment at this stage?

A 3-year-old female, normally healthy, was discharged about 10 days ago from hospitalization due to pneumonia, treated with intravenous penicillin, referred due to edema and erythema of the hand in the infusion area, accompanied by fever up to 38.7°C, evidence of enlarged lymph nodes and joint pain. What is the best treatment in this case?

A 2-month-old solely breastfed male is evaluated for mucus and occasional small amount of blood in the stool. The infant appears well, afebrile, and gaining weight appropriately. The mother rules out vomiting, rashes, shortness of breath, or restlessness. No allergy is known in the family.

What is the most appropriate initial step in managing the case?

6-month-old female, breastfed; introduction to solids has begun. The mother says that after exposure to citrus fruits, redness and fine sores appear around the mouth. The redness and sores resolve after a few days, and upon repeated exposure, the rash returns. The baby’s sister has an allergy to sesame.

What should be recommended to the mother in this case, and why?

5 years of age, ate peanuts for the first time in his life. Arrived for examination due to generalized redness on the skin, itching and general weakness. Upon admission, pulse 190, BP 60/40 mmHg, 40 breaths per minute, saturation 90%, capillary refill time – 1 second.

What will be the next stage in his treatment?

A 7-week-old boy, has been having watery diarrhea with blood drops, several vomiting episodes and agitation episodes for about a week. Background of breastfeeding and in the past week baby formula has been added to his diet. Examination: no fever, aIert and vital. In relation to his condition, what is the best way to confirm his diagnosis?