KingsResp - Love Your Lungs
kingsresp.bsky.social
KingsResp - Love Your Lungs
@kingsresp.bsky.social
Education & research from the Respiratory Department at King's College Hospital, London. #RespEd #RespisBest #ThoracicThursday #medsky Free archive of SCE style Q&As at https://www.brainscape.com/p/4MNSM-LH-CAN86
👍
April 24, 2025 at 8:27 PM
Link to booking page?
April 22, 2025 at 11:53 AM
Not sure what you mean? You asked for reference for the chart. It’s in the BSACI guideline which is linked to in previous posts
April 21, 2025 at 3:17 PM
See the BSACI guideline
April 21, 2025 at 1:12 PM
Ok that's it for today! We're off to check the pollen forecast and take our intranasal steroids before heading out into the allergen-filled outdoors! weather.metoffice.gov.uk/warnings-and... 14/14 /end #RespEd #medsky
Pollen forecast
Pollen forecasts for the next 5 days, across the UK. Find out what the pollen count is today and the type of pollen in the air.
weather.metoffice.gov.uk
April 21, 2025 at 12:24 PM
Immunotherapy is the only treatment that can modify the course of allergic rhinitis, with long-term remission following discontinuation. The criteria are clear. Don't let your patients miss out! #RespEd 13/n www.bsaci.org/guidelines-a...
April 21, 2025 at 12:23 PM
The BSACI have great guidelines - take a look www.bsaci.org/guidelines-a... #RespEd 12/n
a woman giving a presentation with the words let 's have a look written below her
ALT: a woman giving a presentation with the words let 's have a look written below her
media.tenor.com
April 21, 2025 at 12:21 PM
Intranasal treatments only work if they are administered properly. No sniffing! 11/n #RespEd #medsky
April 21, 2025 at 12:19 PM
Good news! The more recent intranasal steroids have little systemic uptake and are suitable for use
in children & for long-term therapy 10/n #RespEd
April 21, 2025 at 12:18 PM
The BSACI treatment algorithm is a useful aide, taking a step by step approach, & guiding phenotyping to direct therapy. A
combination of treatments is often needed for more severe disease. 9/n #RespEd #medsky
April 21, 2025 at 11:40 AM
Allergen avoidance advice is an important part of management, but most pollen avoidance interventions are untested in trials & have limited real world application/practicality www.bsaci.org/wp-content/u... 8/n #RespEd #medsky
April 21, 2025 at 11:37 AM
Skin prick tests are the favoured test for sensitisation, as they are more sensitive than SpIgE for cat epithelium,
mould & grass pollen. But either can be used for diagnosis with an appropriate history 7/n #RespEd #medsky
a man making a funny face with the words allergy season written below him
ALT: a man making a funny face with the words allergy season written below him
media.tenor.com
April 21, 2025 at 11:34 AM
Diagnosis of rhinitis is based on a detailed history incl seasonality (pollen, moulds), indoors/outdoors location (dust mite, pets), occupation, & relationship to potential triggers. Symptoms of sneezing, nasal itching & itching of the palate are common 6/n #RespEd #medsky
tom and jerry are standing next to each other in a hallway and yawning .
ALT: tom and jerry are standing next to each other in a hallway and yawning .
media.tenor.com
April 21, 2025 at 11:31 AM
NAR (non-allergic rhinitis) is a diagnosis of exclusion in patients with symptoms of rhinitis but without
any identifiable allergic triggers,
negative for systemic IgE & who have had other causes ruled out 5/n #RespEd #medksy
April 21, 2025 at 11:28 AM
Allergic rhinitis is an immunological reaction involving IgE antibodies for specific allergens
bound to receptors on the surface of mast cells. Degranulation releases multiple cytokines & other inflammatory mediators. www.bsaci.org/wp-content/u... #RespEd #medsky #lungsky 4/n
April 21, 2025 at 11:26 AM
Gene-environment interactions are key to rhinitis, esp in early life. Epidemiological evidence suggests smaller family size, urban environments & reduced exposure to infectious diseases are involved in the increase in prevalence of rhinitis. #RespEd 3/n pmc.ncbi.nlm.nih.gov/articles/PMC...
April 21, 2025 at 11:23 AM
Rhinitis is strongly associated with asthma: 74%-81% of asthmatics report symptoms of rhinitis. Rhinitis, both allergic & non-allergic, is a strong risk factor for new-onset asthma. So as a Respiratory specialist you'll see lots of rhinitis. #RespEd #medsky www.jacionline.org/article/S009... 2/n
Rhinitis as an independent risk factor for adult-onset asthma
Background: For many years, the association between asthma and rhinitis has primarily been attributed to a common allergic background. Recently, it has been suggested that asthma and rhinitis are asso...
www.jacionline.org
April 21, 2025 at 11:19 AM
OK let's have a think about rhinitis. In the UK, prevalence is 10% in 6-7 yr olds, 15% in 13-14 yr olds & 26% in adults. It's common & has increased a lot in the last 50yrs. pmc.ncbi.nlm.nih.gov/articles/PMC... #RespEd #RespIsBest #medsky 1/n
April 21, 2025 at 11:17 AM
It's answer time! The answer to Q63 was C. Arrange subcutaneous immunotherapy. Were you correct? How much do you know about the treatment of chronic rhinitis? Can you tell allergic from non-allergic and inflammatory from non-inflammatory? Perhaps it's time for a refresher... #RespEd #RespIsBest
April 21, 2025 at 11:11 AM
Congrats!
April 12, 2025 at 8:02 PM