Immediately after eating, a man develops swelling of face and lips, respiratory distress, intense pruiritis, hypotension and feeling of impending doom. The most likely diagnosis is - (AIIMS May 2012)
|D||Food stuck in throat|
i.e., Anaphylaxis [Ref Harrison 18'hje p. 2710, 17'hle p. 2065, 66]
This patient has :-
a. Swelling of face & lip à can occur in both anaphylaxis or locally as angioneurotic edema.
b. Respiratory distress à can occur in both anaphylaxis or angioneurotic edema.
c. Intense pruritis à Occurs in anaphylaxis but not in angioneurotic edema.
d. Hypotension àOccurs in anaphylaxis but not in angioneurotic edema.
So, the diagnosis is anaphylaxis.