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#Medtwitter, I have another good #inpatientpearl for today!

This one’s about angioedema.

(And lest you forget, I’ve included a lovely sketch of this swelling pattern, by an artist named Paul Moncus. Google is wonderful.)

1/10
Ok. Let’s say you’re called to a code for a patient with rapidly developing angioedema. On chart review, you see they’re on lisinopril and have never had any allergic reactions before.

Airway & patient stability permitting, what is ONE high-yield question you should ask?

2/10
Make sure to ask about itchiness or urticaria!

This helps you differentiate between bradykinin-mediated and mast-cell mediated forms of angioedema.

To understand why, let’s take a step back to pathophysiology (it’ll be relatively painless, I promise).

3/10
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