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Teaching Curriculum: Urticaria/Angioedema
Priorities:
Pediatrics 3, Internal Medicine 3
Family Practice 3, Student 3
OBJECTIVES
Upon completion of this rotation, the rotator should be able to:
- Define urticaria
- Describe the natural history of:
- acute urticaria/angioedema
- recurrent acute urticaria/angioedema
- chronic urticaria/angioedema
- Describe the pathophysiology of urticaria/angioedema, including IgE, autoimmune, immune complex, and nonimmune mechanisms, including direct histamine release; and modifying factors including hormonal agents and medications such as aspirin.
- List the categories of etiologic factors for urticaria/angioedema including:
- ingestants
- injectants
- inhalants
- disease states
- emotional stress
- hereditary factors
- physical etiologies
- Outline logical attempts to identify etiologic factors contributing to urticaria/angioedema including:
- history
- physical exam
- appropriate laboratory investigation
- Outline a management program for a patient with acute and for a patient with chronic urticaria/angioedema including:
- environmental control
- dietary manipulation
- antihistamine therapy
- sympathomimetic therapy
- oral corticosteroid therapy
- Describe hereditary angioedema including:
- clinical presentation
- laboratory findings
- management-acquired versus congenital form
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