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Acute Facial Edema, Erythema in a 58-year-old Man

September 3, 2015

ReelDx

Pt video: Woke with symptoms. PMH: hypertension, arrhythmias. PPD smoker, drinks ETOH. More history, here.

A 58 y/o man describes waking in the morning with a severely swollen face. He had been fine the night before. Dispatch info: HTN (BP: 190/99); dizzy, abdominal guarding. Hx of dyspnea, arrhythmias. Denies allergies, chemical exposure. PPD smoker, heavy ETOH. Watch the full interview.

What is your impression?

A. Allergic reaction/urticaria/angioedema

B. COPD/asthma/emphysema

C. Hepatitis

D. Effects of acute or chronic hypertension

E. Metabolic disorder (electrolyte abnormality)

G. Something else

F. Alcohol withdrawal syndrome