A 41-year-old woman arrives after eating shellfish with throat tightness and wheezing. Triage acuity is ESI 1; BP 82/48 mm Hg, HR 132/min, SpO2 90%.

Question

A 41-year-old woman arrives after eating shellfish with throat tightness and wheezing. Triage acuity is ESI 1; BP 82/48 mm Hg, HR 132/min, SpO2 90%. She has diffuse urticaria, stridor, and lip swelling. IV access is being obtained. Which of the following is the most likely diagnosis?

Accepted Answer

Anaphylaxis with airway compromise

Answer

Panic attack

Answer

Isolated urticaria

Answer

Foreign body aspiration

Answer

Asthma exacerbation without shock

Upper airway obstruction anaphylaxis — ABEM Board MCQ

A 41-year-old woman arrives after eating shellfish with throat tightness and wheezing. Triage acuity is ESI 1; BP 82/48 mm Hg, HR 132/min, SpO2 90%. She has diffuse urticaria, stridor, and lip swelling. IV access is being obtained. Which of the following is the most likely diagnosis?