#87 Penicillin Allergy: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 2 June 2021

⏱️ 41 minutes

🔗️ Recording | iTunes | RSS

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Summary

Debunk common myths of penicillin allergies! What's the best way to ask about allergies? How can you challenge patients to determine if they have a true allergy? Organic chemistry buffs, what mediates cross-reactivity? What medications can you safely give your patients? Show note, Transcript and References: https://www.coreimpodcast.com/2021/06/02/5-pearls-on-penicillin-allergy/ Time Stamps: * 02:49 Penicillin Myths * 07:20 Penicillin Allergy * 11:21 Allergic Reactions * 19:01 Managing allergic reactions * 26:53 Alternative medications * 33:28 Recap Tags: CORE IM, IM Core, history taking, rash, skin testing, hypersensitivity, medications, over labeling, antibiotics, management Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	I think that the most common myths and misconceptions that I hear include that penicillin
0:08.6	allergy lasts forever and that once you're diagnosed with a pen discussant allergy is yours from that day and carries forward forever and always holds true.
0:20.0	That is our expert discussant, Dr Blumenthal.
0:22.6	We'll let her introduce herself.
0:24.1	I'm Kim Blumenthal.
0:25.1	I'm an allergist and researcher
0:26.6	at Mass General Hospital, an assistant professor
0:29.2	at Harvard Medical School.
0:30.2	Today, we are discussing penicillin allergy, that pesky label that ruins the best planned antibiotic
0:36.0	regiments. I'm Dr. Shre at Shreya Trevetti, an internist at BIDMC, and today I am joined by two very passionate souls.
0:43.7	Hi, I'm Dan Topan, an infectious disease attending at BIDMC.
0:47.8	Hi, I'm Anne Marie Coomfer.
0:49.7	I'm a hospitalist at the University of North Carolina.
0:52.7	Maybe before we get started, let's just make sure we're all on the same page.
0:55.7	Dien, can you break down for us what is a penicillin?
0:58.8	Absolutely.
0:59.8	So people usually just think about penicillin g but there's so much more.
1:04.4	It's those antibiotics that we use all the time that end in sillin.
1:08.1	It's amino penicillin.
1:09.7	Like amposillin, amoxicillin.
1:11.8	The ones we use to treat staff. Like naphsillin, Amoxacillin. The ones we used to treat staffs,
1:14.0	nafsillin, Oxicillin and methicillin. And we cannot forget about
	...

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