Allergic rhinitis and bronchial asthma are two of the most common clinical entities encountered by physicians. This update will serve to give a review of the most recent clinical guidelines that can be used by doctors to help manage their allergic and asthmatic patients.
Namely, the lecture on Allergic Rhinitis presents the Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines and the Clinical Practice Guidelines of the American Academy of Otolaryngology - Head and Neck Surgery Foundation (AAO-HNSF).
The lecture on Asthma focuses on the Global Initiative for Asthma (GINA) Global Strategy for Asthma Management and Prevention 2014 for patient care.
The two videos are followed by a quiz. After taking the quiz, you will be able to view and save your Respiratory Council Updates Certificate.
This is a case of a 40-year-old G2P0 (0010) diagnosed to have reproductive immune failure I, III and V. She underwent lymphocyte immunotherapy and was on aspirin and prednisone prior her second pregnancy. On her second trimester, antiphospholipid syndrome (APS) monitoring revealed positive for lupus anticoagulant. At 26 weeks age of gestation (AOG), she complained of decreased fetal movement and pelvic ultrasound revealed oligohydramnios. Upon admission, referral to immunology service was done. Heparin IV and hydrocortisone were given. Repeat ultrasound still revealed oligohydramnios hence Intravenous immunoglobulin (IVIg) was administered. A few hours after IVIg transfusion, patient complained of difficulty of breathing. She was transferred to the Maternal Intensive Care Unit (MICU) for close monitoring. Chest x-ray revealed bilateral pulmonary congestion, pleural effusion left lower hemithorax. D dimer was elevated at 3050. Patient was transferred back to a regular room after being stable. Serial ultrasound was done to monitor fetal status. At 31 wks AOG, there was recurrence of oligohydramnios. Elective CS was done and patient gave birth to a live preterm baby boy.