RESUMO
Stinging insects are a frequent cause of local and systemic hypersensitivity reactions, including anaphylaxis. For those with a history of life-threatening anaphylaxis, venom immunotherapy is effective, safe, and can be life-saving. Arachnids are a much less common source of envenomation through bites or stings and are less likely to cause a hypersensitivity reaction. However, recognizing the clinical manifestations when they do present is important for accurate diagnosis and treatment, and, when indicated, consideration of other diagnoses.
Assuntos
Anafilaxia , Mordeduras e Picadas de Insetos , Humanos , Mordeduras e Picadas de Insetos/complicações , Anafilaxia/terapia , Anafilaxia/diagnóstico , Anafilaxia/etiologia , Animais , Hipersensibilidade/terapia , Hipersensibilidade/diagnóstico , Venenos de Artrópodes/imunologia , Venenos de Artrópodes/efeitos adversos , Dessensibilização Imunológica/métodos , Hipersensibilidade a VenenoRESUMO
Stinging insects are a frequent cause of local and systemic hypersensitivity reactions, including anaphylaxis. For those with a history of life-threatening anaphylaxis, venom immunotherapy is effective, safe, and can be life-saving. Arachnids are a much less common source of envenomation through bites or stings and are less likely to cause a hypersensitivity reaction. However, recognizing the clinical manifestations when they do present is important for accurate diagnosis and treatment, and, when indicated, consideration of other diagnoses.
Assuntos
Anafilaxia , Himenópteros , Hipersensibilidade , Mordeduras e Picadas de Insetos , Hipersensibilidade a Veneno , Animais , Humanos , Anafilaxia/diagnóstico , Anafilaxia/etiologia , Anafilaxia/terapia , Mordeduras e Picadas de Insetos/complicações , Mordeduras e Picadas de Insetos/diagnóstico , Mordeduras e Picadas de Insetos/terapia , Hipersensibilidade/diagnóstico , Hipersensibilidade/terapia , Dessensibilização Imunológica/efeitos adversosRESUMO
Insertion of urinary catheters (most often Foley catheters) can be performed in outpatient settings to manage acute urinary obstruction without referral to emergency services, as well as to obtain urine samples in patients not able to provide a clean catch urine sample. For patients with established suprapubic urinary catheters, routine exchange can also occur safely in primary care settings. Excision of a thrombosed external hemorrhoid can be performed in the office setting with local anesthesia. The procedure offers better clinical outcomes than symptomatic treatment if performed within the first 72 hours from the onset of symptoms.
Assuntos
Hemorroidas , Cateterismo Urinário , Humanos , Administração de Consultório , Pacientes AmbulatoriaisAssuntos
Antiarrítmicos/uso terapêutico , Metoprolol/uso terapêutico , Tono Muscular/fisiologia , Miocárdio/patologia , Taquicardia por Reentrada no Nó Atrioventricular/diagnóstico , Taquicardia por Reentrada no Nó Atrioventricular/tratamento farmacológico , Manobra de Valsalva , Adulto , Feminino , Idade Gestacional , Humanos , Gravidez , Segundo Trimestre da Gravidez , Terceiro Trimestre da Gravidez , Resultado do TratamentoRESUMO
Recommendations about breastfeeding--absent critical analysis and removed from context--may overvalue its benefit. Here's a look at the evidence.
