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ACNE IMPORTANT POINT IN HISTORY AND EXAMINATION. History • How long have you had pimples for? • Are there any triggers? • Is there a family history? • What treatments have you had? How long did you follow each treatment? • What was the most effective treatment? Why did you stop it? • How do you feel about your skin? Does it stop you from doing anything? Examination • Assess the severity and whether there is any scarring. • Determine any psychological impact.

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Auto-injectors (epi-pens) for anaphylaxis - an overview Anaphylaxis is the most severe form of an allergic reaction and is life threatening. A reaction can develop within minutes of exposure to the allergen, but with planning and training, a reaction can be treated effectively by using an adrenaline injection (EpiPenﾮ/EpiPenﾮJr). An important aspect of anaphylaxis management is prevention and avoidance of the cause. Please read Factsheet: Allergic and anaphylactic reactions. Signs and symptoms of a severe allergic reaction (Anaphylaxis) Anaphylaxis is the term used to describe a severe, systemic allergic reaction that involves the respiratory and/or cardiovascular systems. Presentation of any of these symptoms, in addition to one or more of the above symptoms of a mild-moderate allergic reaction, indicates anaphylaxis: Difficulty/noisy breathing Swelling of tongue Swelling/tightness in throat Difficulty talking and/or hoarse voice Loss of consciousness and/or collapse P

Allergic and anaphylactic reactions Allergic reactions occur when the immune system reacts to something in the environment that is normally harmless: e.g. food proteins, pollens or dust mites. Symptoms may be localised or generalised and range from mild to severe. The most common causes of allergy in children are milk, eggs, peanuts, tree nuts, cow milk, soy, wheat, fish and shellfish. Other causes are bee or other insect bites, some medications and latex (rubber). Anaphylaxis is the most severe form of an allergic reaction and is life threatening. Rates of anaphylaxis are not well documented, but are estimated at approximately 5 in every 1000 school children. A reaction can develop within minutes of exposure to the allergen, but with planning and training, a reaction can be treated effectively by using an adrenaline injection (EpiPen®/EpiPen®Jr). An important aspect of anaphylaxis management is prevention and avoidance of the cause. Signs and symptoms Mild to moderate

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