Clinical Case Database / Category: Case Based Discussion


Publication details

Ashis Banerjee MS FRCS FCEM, David Mbamalu FRCS FCEM
Foundation Years Journal, volume 1, issue 6, p.17 (123Doc Education, London, October 2007)


A 17 year old male is brought to the resuscitation room shortly after inadvertent ingestion of a sandwich containing traces of peanut butter. On arrival, he is agitated and acutely short of breath, with a blood pressure of 80/60 mm Hg, a heart rate of 120 beats per minute, and respiratory rate of 26/minute. He has evidence of generalised urticaria, and auscultation of the lungs reveals widespread wheezing bilaterally. His oxygen saturation is 90% on room air. How would you proceed to manage him?

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Ashis Banerjee MS FRCS FCEM (Corresponding author)

Consultant/Honarary Senior Lecturer in Emergency Medicine
Chase Farm Hospital
The Ridgeway
Middlesex EN2 8JL

David Mbamalu FRCS FCEM

Consultant in Emergency Medicine
Chase Farm Hospital




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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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