---
title: A 68-year-old male presents with right-sided tongue swelling
description: It's Tongue Swelling Quiz Time with Med-Challenger!
---

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# [A 68-year-old male presents with right-sided tongue swelling](https://challengercme.com/blog/a-68-year-old-male-presents-with-right-sided-tongue-swelling)

 Written by [Med-Challenger](https://challengercme.com/blog/author/med-challenger) | Jan 9, 2025 4:45:00 PM

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

 

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