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55 years old patient, she went to a Beauty Center and made Mesotherapy injections in her face. The patient has a history of urticaria. After mesotherapy injection, her face became oedematous (Angioedema reaction). The patient is now on systemic corticosteroids 40mg per day, and she takes Long-acting corticosteroids IM (one ampule), but still, the Angioedema UP & DOWN… so what’s the next step in therapy to end this Angioedema!?

74 y.o. F who presented to the ED with complaints of tongue swelling. Angioedema from Lisinopril use. Said she had a prior episode of tongue swelling but not as bad. Awake, upright intubation with Glidescope and 6.5 ET tube.

Patient presented with angioedema then improved with treatment and now developed this with mild fever.

Angioedema. Patient received 10mg #Enalapril.

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?