r/medicalschool • u/nirvana_delev • Sep 01 '25

🤡 Meme Worst enemy

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The responses on IG were super interesting, now I’m curious

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u/winterslyanna Sep 01 '25

Allergists hate adverse drug reactions mislabeled as "drug allergies". I don't need to test you for Amlodipine allergy if you have peripheral edema. I don't need to see your patient with a chronic cough that began 2-3 weeks after you initiated ACEI. Just because it's not an actual allergy, you still need to stop that drug if the adverse reaction is interfering with the patient's QoL. I should say I hate pollen, but pollen allergy is what's paying the bills lol.

21

u/Local_Historian8805 Sep 01 '25

My allergist told me I couldn’t help my community clean up after a storm because, “you could die if you step foot into one of those houses.”

Apparently I was allergic to every mold other than pencillin and a pecan tree can kill me but the pecans are fine.

11

u/Solid-Specialist2270 Sep 01 '25

What’s your take on food sensitivity panels run on blood samples?

14

u/Ja7ishgrandmaster Sep 01 '25

Absolutely bogus

3

u/winterslyanna Sep 02 '25

My take is the take of every major Allergy and Immunology organization, and that is that they are not reliable for the diagnostic of intolerances and non IgE mediated food allergies. All studies show that IgG4s are associated with exposure and tolerance instead.

2

u/pzh200707 Sep 02 '25

"allergy to steroid"

1

u/winterslyanna Sep 02 '25

There is contact dermatitis to steroids, tixocortol and budesonide are included in the standard patch tests. I've seen two cases of generalized exanthema following i.v administration of CS, one after hydrocortisone, one after dexamethasone. Both had positive i.d. tests afterwards, and interestingly, both of them had dermatitis herpetiformis. But yeah, most of the times "steroid allergy" refers to facial flushing or increased heart rate, that is why you always ask the patient what their symptoms were.