In the ED, their vitals/exam are as above. PO H1 blocker/PO H2 blocker/steroids were given immediately. Given history, I doubt an active PNA or infection as patient afebrile. I doubt PE as patient without pleuritic CP, no LE signs of DVT including edema/unilateral swelling or calf pain. Also, low likelihood of PE by Well’s criteria. Doubt imminent airway compromise on exam today as patient without change in voice, without change in O2 saturation and without tachypnea, able to verbalize without complications.
– Labs/Tests: None
– Imaging: None
– Treatments: See above, already given. Fluids, antiemetics, albuterol as needed for symptoms
– Consults: None
– Dispo: Likely discharge with EpiPen/steroids after brief observation period