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IID QUIZ. What condition am I?. Affects 10-25% of population Mean onset 9.1 years age Symptoms include: Inflammation: Itch, sneeze, rhinorrhoea , conjuctivitis , post-nasal drip Obstruction Congestion, dry lips/mouth, sleep disturbance, sinusitis, apnoea
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What condition am I? • Affects 10-25% of population • Mean onset 9.1 years age • Symptoms include: • Inflammation: • Itch, sneeze, rhinorrhoea, conjuctivitis, post-nasal drip • Obstruction • Congestion, dry lips/mouth, sleep disturbance, sinusitis, apnoea • IgE mediated inflammation of the nose • Allergic Rhinitis
What condition am I? • Reaction begins within seconds or minutes of exposure • Clinical features: • Circulatory: Low blood pressure, low pulse pressure, compensatory tachycardia • Skin (within minutes): pruritis, erythea, urticaria • Respiratory: Increased RR, Bronchoconstriction, laryngeal oedema/obstruction • Can be caused by food, drugs, insects and more • Type 1 hypersensitivity reaction to an allergen • Death may result from hypoxaemia or shock • Anaphylaxis
Name the acute inflammatory dermatosis Acute Eczematous Dermatitis (Eczema)
Name the acute inflammatory dermatosis ErythemaMultiforme
Name the acute inflammatory dermatosis Urticaria (Hives)
Name the chronic inflammatory dermatosis Discoid Lupus Erythematosus
Name the chronic inflammatory dermatosis Seborrhoeic Dermatitis
Name the chronic inflammatory dermatosis Psoriasis – now name the 4 forms of psoriasis • Psoriasis vulgaris – eruptive (acute), chronic plaque and inverse forms • - peak incidence at 22 years • Pustular psoriasis – pustules on normal or inflamed skin • Psoriatic arthritis – psoriasis of skin/nails with arthropaty • Erythrodermic psoriasis – involves nearly entire skin with constitutional symptoms
Classify burns by depth • Superficial (1st degree) • Epidermis • Erythema, oedema, tenderness on palpation • Superficial partial thickness (2nd degree) • Some dermis • Erythema, moist, blistering, tenderness on palpation • Pigment changes when healed • Deep partial thickness (2nd degree) • Full dermis • Painless, pale, dry, non-blanching • Severe scarring, grafting needed • Full thickness (3rd degree) • Subcutaneous tissue • Painless, dead appearance, pale/leathery, thrombosed blood vessels • Subdermal (4th degree) • Underlying muscle • Charred appearance, dry, brown, painless • Full thickness and subderma have severe risk of contracture, require grafting
What is parkland formula? • mLcrysalloid in 24 hr = 4 x weight (kg) x % TBSA burned How is it given? What type of fluid?? • Half in first 8 hrs, half over following 16 hrs • Crystalloid formula
Frontal Sphenoid Ethmoid bone Superior orbital fissure Lacrimal bone Optic foramen Palatine bone Zygomatic bone Inferior orbital fissure Maxilla Infraorbital groove