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Anaphylaxis — RACP Paediatrics MCQ

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EasyEmergency paediatricsAnaphylaxisRACP Paediatrics

A 5-year-old develops generalised urticaria, wheeze and vomiting within minutes of eating cashew. He is pale and his voice is hoarse. What is the most appropriate management?

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Correct answer: BIntramuscular adrenaline into the anterolateral thigh

Respiratory and gastrointestinal symptoms after likely allergen exposure indicate anaphylaxis, and intramuscular adrenaline is first-line. Antihistamines and steroids do not treat airway or circulatory compromise. Adrenaline should be given into the anterolateral thigh and repeated if needed.

Reference: ASCIA Anaphylaxis guideline; RCH Anaphylaxis guideline