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Anaphylaxis
Signs & Symptoms
Urticarial eruptions
#Criteria
Note:
intensely pruritic
Ref:
Uptodate
[
Anaphylaxis: Acute diagnosis
]
Harrison
[
2506
]
Intensely pruritic
#Criteria
Ref:
Uptodate
[
Anaphylaxis: Acute diagnosis
]
Harrison
[
2506
]
Intensely pruritic Urticarial eruptions
#Criteria
Ref:
Uptodate
[
Anaphylaxis: Acute diagnosis
]
Harrison
[
2506
]
Involvement of the mucosal tissue
#Criteria
Note:
Urticarial eruptions are intensely pruritic
Ref:
Uptodate
[
Anaphylaxis: Acute diagnosis
]
Harrison
[
2506
]
Physical Examination
Swollen tongue
#Criteria
Ref:
Uptodate
[
Anaphylaxis: Acute diagnosis
]
Harrison
[
2506
]
Swollen uvula
#Criteria
Ref:
Uptodate
[
Anaphylaxis: Acute diagnosis
]
Harrison
[
2506
]
Swollen lips
#Criteria
Ref:
Uptodate
[
Anaphylaxis: Acute diagnosis
]
Harrison
[
2506
]
Lab / Serology
Elevated concentrations of plasma histamine
Note:
Typically peak within 5 to 15 minutes of the onset of anaphylaxis symptoms then decline to baseline by 60 minutes due to rapid metabolism
Ref:
Uptodate
[
Anaphylaxis: Acute diagnosis
]
Elevated concentrations of plasma total tryptase
Ref:
Uptodate
[
Anaphylaxis: Acute diagnosis
]
Harrison
[
2507
]
Elevated concentrations of serum total tryptase
Ref:
Uptodate
[
Anaphylaxis: Acute diagnosis
]
Harrison
[
2507
]
Imagin Study
Complication
Fetal hypoxemia
Gr.
pregnant
Note:
May be seen in fetus of a mother with anaphylaxis
Ref:
Uptodate
[
Anaphylaxis in pregnant and breastfeeding women
]
Fetal hypoxic ischemic encephalopathy
Gr.
pregnant
Note:
May be seen in fetus of a mother with anaphylaxis
Ref:
Uptodate
[
Anaphylaxis in pregnant and breastfeeding women
]
Fetal acidosis
Gr.
pregnant
Note:
May be seen in fetus of a mother with anaphylaxis
Ref:
Uptodate
[
Anaphylaxis in pregnant and breastfeeding women
]
Risk Factors
Cause
Cefazolin
Note:
against early-onset group B streptococcal infection
Ref:
Uptodate
[
Anaphylaxis in pregnant and breastfeeding women
]
Ampicillin
Note:
against early-onset group B streptococcal infection
Ref:
Uptodate
[
Anaphylaxis in pregnant and breastfeeding women
]
Penicillin
Note:
against early-onset group B streptococcal infection
Ref:
Uptodate
[
Anaphylaxis in pregnant and breastfeeding women
]
Other