Allergy, unspecified
SX â sneezing, itchy, watery eyes, dyspnea, anaphylaxis, N/V, angioedema of face and lips.
PE â
Heent (Conjunctivitis).
Lungs (Wheezing).
Skin (Hives, Flushing).
Next Steps
DX â usually based on history and symptoms and PE. CBC (inc eosinophils), inc IgE CT sinuses * Allergy testing (skin tests, RAST, audiometry)
Health Tips
TX â Allergy and Immunology referral. 1) Avoidance. 2) Meds. 3) Shots. Meds: ⢠Antihistamines: diphenhydramine, hydroxyzine, loratidine, fexofenadine, cetirizine. ⢠Decongestants (pseudoephedrine). ⢠Mast Cell stabilizers (cromolyn sodium). ⢠LT antagonists (montelukast, zafirlukast). Steroids: Flonase (fluticasone). Epinephrine Pen.