Shortness of Breath
Questions
46.A 55-year-old woman with a past medical history of diabetes walks
into the emergency department (ED) stating that her tongue and lips feel
like they are swollen. During the history, she tells you that her doctor just
started her on a new blood pressure (BP) medication. Her only other med-
ication is a baby aspirin. Her vitals at triage are: BP 130/70 mm Hg, heart
rate (HR) 85 beats per minute, respiratory rate (RR) 16 breaths per minute,
oxygen saturation 99% on room air, and temperature 98.7°F. On physical
examination, you detect mild lip and tongue swelling. Over the next hour,
you notice that not only are her tongue and lips getting more swollen, but
her face is starting to swell, too. What is the most likely inciting agent?
a. Metoprolol
b. Furosemide
c. Aspirin
d. Lisinopril
e. Diltiazem
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