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A 16-year-old girl with a known food allergy presents having become breathless in a fast food restaurant. She has been given 0.5 mg IM adrenaline by the paramedic crew. On arrival in ED she has P 105, BP 100/65, RR 30, sats 100% on high-flow O2 and no wheeze. She has an urticarial rash on her upper chest.
Select the two main differential diagnoses from the following:
How might you distinguish between these two differential diagnoses? Enter your answer in the space below.
A 16-year-old girl with a known food allergy presents having become breathless in a fast food restaurant. She has been given 0.5mg IM adrenaline by the paramedic crew. On arrival in ED she has P 105, BP 100/65, RR 30, sats 100% on high-flow O2 and no wheeze. She has an urticarial rash on her upper chest.
Two main differential diagnoses:
How should this patient be managed? Enter your answer in the space below.
Case summary
A 16-year-old girl with a known food allergy presents having become breathless in a fast food restaurant. She has been given 0.5mg IM adrenaline by the paramedic crew. On arrival in ED she has P 105, BP 100/65, RR 30, sats 100% on high-flow O2 and no wheeze. She has an urticarial rash on her upper chest.
• Allergic reaction
• Anaphylaxis