UWMC Asthma/Allergy

Location:
UWMC, 3rd floor:
Otolaryngology Clinic (Monday, Wednesday);
Medical Specialties Clinic (Thursday)
Clinic phone:
(206) 543-3780
Clinic contacts:
Kimberly Diehl
kimberd@uw.edu
Attendings:
William Henderson, MD
Reynold Karr, MD
Dew Ayars, MD
Shifts:
Monday, 1:00 p.m. - 5:00 p.m. (Ayars)
Wednesday, 8:30 a.m. - 5:00 p.m. (Ayars)
Thursday, 1:00 p.m. - 5:00 p.m. (Karr)

Educational Goals and Objectives

The primary educational goal and objective for University of Washington internal medicine residents rotating through UWMC Asthma and Allergy clinics is to develop a thorough understanding and knowledge of the mechanisms and treatment of asthma and allergic dieseases. the specific goals and objectives are as follows:

  1. Identify the pathophysiology of asthma, signs, symptoms, interpretation of pulmonary function tests, and outline a general program of management. Be familiar with the different classes of drugs used in the medical management of asthma and their side effects including the following: short- and long-acting b2 agonists, inhaled and systemic corticosteroids, leukotriene antagonists and anti-IgE therapy
  2. Be able to diagnose and treat patients with symptoms of IgE-medicated allergic rhinitis and nonallergic rhinitis. The resident should be able to identify which aeroallergen testing is necessary to aid withthe proper diagnosis (i.e., skin testing versus in vitro RAST and them formulate a proper treatment regiment with different medications including antihisamines and inhaled corticosteroids), educate patient in environment aeroallergen control, and understand indicaitons, risks, benefits for aeroallergen immunotherapy.
  3. Understand the etiology, signs, symptoms, of angioadema and urticaria. Be able to order proper laboratory tests for diagnosis and recommend proper treatment.
  4. Be able to identify clinical symptoms and signs of food allergy, order/interpret proper diagnostic tests (i.e., RAST) to identify food allergies.
  5. Be knowledgeable in etiology, signs, symptoms, and treatment of anaphylaxis.
  6. Know pathophysiology of acute and chronic sinusitis and diagnostic workup including sinus imaging. Be able to formulate proper treatment with antibiotics and/or other pharmacotherapy.
  7. Identify signs and symptoms of stinging insect (i.e., hymenoptera) hypersensitivity. Know how to interpret RAST and skin testing and indications for insect venom immunotherapy.
  8. Understand the classification of adverse drug reactions, in particular Type I, immediate hypersensitivity (IgE-medicated) drug reactions and use of drug densensitization protocols.
  9. Identify common causes of contact dermatitis, use of patch skin test, and outline a program of management.
  10. Identify the characteristics aspects in history and physical examination to make a diagnosis of atopic dermatitis, identify aggravating factors, and outline a program of management including environmental control, and use of topical corticosteroids and other therapies.

References

Expert Panel Report 3 (EPR-3): Guidelines for the Diagnosis and Management of Asthma.
NHLBI. Summary Report, 2007. More information at: http://www.nhlbi.nih.gov/guidelines/asthma/
Pharmacologic rationale for treating allergic and nonallergic rhinitis. Greiner AN, Meltzer EO. J Allergy Clin Immunol.118:985-996, 2006
Leukotrienes. Peters-Golden M, Henderson WR, Jr. N Engl J Med.357:1841-54, 2007.
2010 Primer on Allergic and Immunologic Diseases.The Journal of Allergy and Clinical ImmunologyVolume 125, Issue 2, Supplement 2 (February 2010).
This is the first update of the full Primer since the 2003 edition and includes 30 articles reviewing the key topics in the field of allergy and immunology. This excellent educational reference has been made open access so residents can review without need of password.