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Evaluation

Are you evaluating a patient for anaphylaxis?

Has the patient had an acute onset of an illness?

Age of the patient

years

Age in months

months

Systolic blood pressure

mm Hg

Baseline systolic blood pressure

mm Hg

Has the patient developed ...

• generalized hives, pruritis and/or flushing?

• swollen lips, swollen tongue and/or swollen uvula?

• dyspnea, wheezing, bronchospasm, stridor, reduced peak expiratory flow, and/or hypoxemia?

• collapse, syncope, incontinence or other symptom of end-organ dysfunction?

• persistent cramping, abdominal pain, vomiting or other GI symptoms?

Select an appropriate answer to indicate an exposure preceding onset

Preceding exposure

Results

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