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Matthew, age 24 months, is brought into the clinic by his frantic mother. She reports Matthew started wheezing and broke out in a blotchy skin rash within 5 minutes of eating a cracker with peanut butter. Matthew has a history of mild, intermittent asthma treated with nebulized albuterol, which the mother administered without improvement in the child's breathing pattern. He also has a history of moderate atopic dermatitis and a prior milk intolerance that he has since outgrown. No other food allergies are noted in his history, and the mother believes this is the first time Matthew has eaten peanut butter. It has been approximately fi hour since he ingested the peanut butter. Matthew's vital signs are temperature 98.6[degrees]F, pulse 90, and respirations 60 with audible wheezing and repetitive cough. His blood pressure is 80/60. His face and chest are flushed with urticaria, and some swelling is noted around his mouth., Significance of Peanut Allergies Food allergies cause about 30,000 anaphylactic reactions and 200 deaths each year in the United States (Sampson, 1999). Peanut and tree nut allergies account for the [...]

In the late 1990s a task force composed of experts in the management of acute otitis media (AOM) and the Drug-Resistant Streptococcus Pneumoniae Therapeutic Working Group were brought together to [...]

In January 2000 the U.S. Department of Health and Human Services released the Healthy People 2010 document titled "Healthy People in Healthy Communities" (http://www.health.gov/healthypeopie/). This informative and well-referenced document builds [...]