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post in: Products, Video Date:23 Aug 2017, 22:28 views:1204
History OF present illness: The patient is here today for possible reaction to immunotherapy. He is followed.
Doe for allergic rhinitis and asthma and was last seen 5 months ago. The patient is currently building on immunotherapy and yesterday received atlanta injections with oak/birch/maple 100 PNU.3 mL, grass and ragweed 100 BAU.3 mL, cat/dog 50 BAU.3 mL and mite and mold mix 100 units.3.
The patient tells me after the immunotherapy, he went home and within hours felt some chest tightness. The patient used his albuterol inhaler but the chest tightness got worse and he ended up taking his Symbicort 160/4.5 two puffs as well as some Claritin. He continued to feel asthma lethargic and out of breath.
He also had an itchy area on his left arm where he received the cat/dog injection. He was able to go to sleep that night but woke twice due to wheezing and used his albuterol inhaler and went back to sleep. When he woke up this houston morning, he was very tired and dizzy and could not catch his breath.
He used his albuterol inhaler once or twice this morning as well as his Symbicort and took a tablet of Zyrtec. Then, around 9 or 9:30, when he was at work, he felt his tongue swelling. During this time, he never felt he could breathe normally.
The albuterol inhaler did not have any benefit nor did the other medications he tried. He tells me he had no rash, hives or vomiting.
He is not coughing. He tells me he has not been sick this week.
No fever. He has been off of his Symbicort since November because he felt his asthma is fine.
He has had no recent trouble with asthma. No recent exposure to animals, dust or other allergens.