SOLVED1131

CC: “My lips and tongue swelled up and I thought I was going to die.” HPI: Pt states that 6 hours ago he had sudden onset of swelling in his lips and tongue. He had a hard time breathing. His wife urged him to take some Benadryl and he took one 25 mg tablet. After approximately 1 hour, the swelling began to resolve, and the difficulty breathing also resolved. At this time, he is not experiencing any difficulty breathing, and he feels that the swelling is almost completely gone. He specifically denies any chest pain or heart racing associated with this episode. He did not notice any itching of the skin or hives. He had one similar episode many years ago after eating shrimp, and has avoided all shellfish since that time. He is certain that he has not ingested shellfish in the past 48 hours. PMH: HTN for at least 10 years. He was in good control on HCTZ only until recently. He saw his primary care provider earlier this week and was given a prescription for a new medication. The prescription is labeled as lisinopril 10 mg. He has taken four doses of lisinopril but never developed any
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