AUGUST 2003 QUIZ OF THE MONTH . . . Case Description A 70 year old man has a severe anaphylactic reaction to an antibiotic manifest by generalized urticaria, severe bronchospasm and a sense of swelling in the posterior pharynx area with swallowing difficulty. Blood pressure and pulse are normal. There is a past history of occasional exertional angina. Which one of the following treatments would be the most appropriate to use first. Inhaled albuterol (beta agonist) Intravenous diphenhydramine (Benadryl) Intravenous bolus of methylprednisolone (Solumedrol) Epinephrine - intramuscular Epinephrine - subcutaneous Think you have the answer? Click here to find out if you're right! Please tell us what you think of this site. © Copyright 1997-2009 American Academy of Allergy, Asthma & Immunology All rights reserved