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Anaphylaxis — History and Physical Examination — Clinical Pathway: Emergency

Anaphylaxis Clinical Pathway — Emergency Department

Complete History and Physical Exam

History
  • Characterize manifestations
  • Document occurrence time of attack(s)
  • Duration of episode(s)
  • Treatments administered
  • Potential causes
  • Severity of previous attacks
  • Atopic status: particularly presence of asthma
Physical Vital Signs
  • Skin
    Generalized hives, pruritis, or flushing
  • Edema
    Mucosal tissue, especially lips, tongue, uvula
  • Airway
    Stridor, hoarseness, cough, trouble swallowing
  • Breathing
    Cough, dyspnea, wheezing, retractions, hypoxemia
  • Circulation
    Hypotension, tachycardia, delayed capillary refill, poor perfusion
  • Neurologic
    Change in mental status, syncope, sense of impending doom
  • Gastrointestinal
    Persistent vomiting, abdominal pain, diarrhea
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