Talk:Anaphylaxis

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Good article Anaphylaxis has been listed as one of the Natural sciences good articles under the good article criteria. If you can improve it further, please do so. If it no longer meets these criteria, you can reassess it.
December 27, 2011 Good article nominee Listed
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Angioedema[edit]

Concerning #Skin, I reviewed reference 6 and, unless the medical community uses the term "e.g." (for example) differently than most others, I revised the statement to describe swelling, specifically angioedema, of the afflicted tissues rather than solely that of the lips. If there was a reason for the previous wording, please correct that portion of my edit; otherwise — and except for providing an example of steroid use under #Management —, it was strictly clean-up. JamesEG (talk) 19:50, 4 July 2013 (UTC)

Used a specific part as an example to keep the wordier clearer, but yes swelling can occur in any tissue. Swelling of the airway however is of course more concerning. Doc James (talk · contribs · email) (if I write on your page reply on mine) 22:47, 4 July 2013 (UTC)

Diagnosis[edit]

I think the following change to that section would be an improvement compared to the present summary of the source document, though perhaps it is a bit too terse for most readers. However, I am not a physician, so, perhaps it is silly, but I'll only make the change if one such approves it. Or whatever: you could be a Barbary pirate, for all I'd know. JamesEG (talk)

Anaphylaxis is highly likely with analytic diagnosis of the following symptoms:

  1. Acute onset (minutes to several hours) of an illness involving the skin and/or mucosal tissue — for example, generalized hives, itchiness, flushing, or swelling (angioedema) of the afflicted tissues — and at least one of the following:
    1. Respiratory difficulties (e.g., shortness of breath, wheezes or bronchospasm, stridor, reduced peak expiratory flow, hypoxemia)
    2. Reduced blood pressure or associated symptoms of bodily dysfunction — such as weak posture, falling, lessened muscular response, fainting, incontinence

If exposure to a likely allergen is known, onset (also minutes to several hours) of the following two or more symptoms can be used by a medical expert:

  1. Involvement of the skin or mucosal tissues, as described above
  2. respiratory difficulties, as above
  3. Reduced blood pressure or associated symptoms, as above
  4. Persistent gastrointestinal symptoms, such as crampy abdominal pain or vomiting

If a known allergen was encountered, the occurance (also minutes to several hours) of reduced blood pressure, determined by:

  1. Infants and children: low systolic blood pressure (which is depentant on age) or a greater than 30% decrease in systolic blood pressure
  2. Adults: systolic blood pressure of less than 90 mm Hg or a decrease farther than 30% from that person’s baseline
can be used by a medical expert to diagnose anaphylaxis.

JamesEG (talk) 21:42, 4 July 2013 (UTC)

The current wording IMO is less complicated and IMO should thus be prefered. Never used the phrase "analytic diagnosis" before for example. Additionally one can simply say "within minute or hours" and leave the technical term acute out all together. Doc James (talk · contribs · email) (if I write on your page reply on mine) 22:53, 4 July 2013 (UTC)