A patient is brought to the emergency department (ED) by paramedics,
who report that when they arrived at the patient's home the patient's wife said that about 5 minutes prior to calling 911 the patient had eaten some chocolate-covered peanuts. The wife went on to say the patient developed nasal congestion, periorbital swelling, pruritus, sneezing, and tearing of the eyes. By the time the paramedics arrived and began transport to the ED the patient complained of abdominal cramping and began having severe dyspnea, cyanosis, and hypotension. What is the patient diagnosed with?
A) Latex allergy
B) Anaphylaxis
C) Moderate allergic reaction
D) Goodall's disease
Ans: B
Feedback: Severe systemic reactions have an abrupt onset with the same signs and symptoms described previously. These symptoms progress rapidly to bronchospasm, laryngeal edema, severe dyspnea, cyanosis, and hypotension. Dysphagia (difficulty swallowing), abdominal cramping, vomiting, diarrhea, and seizures can also occur. Cardiac arrest and coma may follow. The scenario does not describe latex allergy, a moderate allergic reaction, or Goodall's disease.
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