A 68-year-old male presents with right-sided tongue swelling. He has hypertension and diabetes. There have been no recent medication changes or new antigen exposures. He denies any difficult breathing. His vital signs are normal. Examination of his tongue and infralingual structures are shown here.
Treatment consists of:
- Steroids, H1 blockers; discharge if stable after 2 hours of observation
- Restarting ACE inhibitors 2 weeks after symptoms have resolved
- H2 blockers, steroids, switch to beta blocker as antihypertensive; discharge after 6 hours of observation
- Stopping ACE inhibitors and admitting to hospital to monitor for airway obstruction
This question appears in Med-Challenger Emergency Medicine Review with CME
Try for free and save. Ace your exams and meet your CME/MOC requirements for just $35 a month!
No matter your program, no matter the size, Med-Challenger for Groups and Institutions can better prepare your program or group, fulfill industry requirements, and increase test scores.
For personal medical education that includes board's prep, MOC, and CME requirements, Med-Challenger has you covered in Family Medicine, Emergency Medicine, Internal Medicine, Pediatrics, Pediatric Emergency Medicine, OBGYN, Physician Assistants, and Nurse Practitioners.