Hx an hour after eating they had vomited & then went on to an asthma attack. An urticarial rash was also noted. Anaphylaxis was considered but dismissed as a differential. They were reviewed by ICU.
So certain were the teams this was *not* anaphylaxis the pat. was not sent home with Adrenaline. No tryptase was checked.
Hypotension is not essential to diagnose anaphylaxis. Food allergy & asthma go together. Anaphylaxis to foods respiratory symptoms dominate. Audit show pats rarely receive Adrenaline if the presentation of their anaphylaxis is asthma unless they self-administer.