What’s Your Diagnosis? Management of Allergic Reactions and Anaphylaxis in the ED

Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got last month’s case on Procedural Sedation and Analgesia in the Emergency Department correct.

Case Presentation: Management of Allergic Reactions and Anaphylaxis in the Emergency Department

You are called to the resuscitation bay, where you see a young woman who is struggling to breathe…

  • She is in obvious respiratory distress, with stridor, wheezing, and a widespread urticarial rash. Her vital signs are stable except for mild tachycardia. 
  • The patient’s friend at the bedside is tearful, worrying that she may have accidentally given the patient food that contained peanuts. 
  • You wonder how aggressive you should be in managing this patient‘s symptoms and whether she should be given epinephrine, antihistamine, and/or corticosteroids…

Make your best guess, and check back next month to find out the correct answer!

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Last Updated on June 21, 2022

One thought on “What’s Your Diagnosis? Management of Allergic Reactions and Anaphylaxis in the ED

  1. I will order epinephrine for first choice treatment . I will also consider corticosteroids and antihistamine beside epinephrine . Because the patient has two systemic symptoms that one is respiratory and skin .

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