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Teaching Curriculum: Stinging Insect Reactions
Priorities:
Pediatrics 2, Internal Medicine 2
Family Practice 2, Student 3
OBJECTIVES
Upon completion of this rotation, the rotator should be able to:
- List the insects that are members of the order Hymenoptera
- Identify where in the natural habitat one could typically find a honey bee, wasp, yellow jacket, hornet, and fire ant
- List common insects that may be responsible for untoward reactions, but are not of the order Hymenoptera, for example: kissing bug, mosquito, deerfly, and spider
- Differentiate the reactions that can occur after insect stings including:
- normal reactions
- large local reactions
- systemic reactions
- delayed reactions
- Explain the role of venom skin testing and in vitro serum IgE allergen specific assays in the diagnosis of stinging insect hypersensitivity
- Outline an emergency treatment for a patient with:
- local reaction to insect sting
- large local reactions to insect sting
- systemic reactions to insect sting
- Explain long-term management of patient with insect sting reaction
- List indications for venom immunotherapy in the prophylaxis of stinging insect hypersensitivity
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