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58-Year-Old Man with Facial Swelling and Shortness of Breath

Signs and Symptoms
This patient presented with abdominal guarding, hypertension, and severe facial swelling.

How would you diagnose this patient?

Choose one to reveal diagnosis and discussion

Arrhythmia
Allergic reaction/urticaria/angioedema
Facial edema
COPD/asthma/emphysema
Alcoholism
Hepatitis (secondary to ETOH)
Pancreatitis
Neoplastic disease
Effects of acute or chronic hypertension
Electrolyte disorder secondary to poor nutrition
Atypical myocardial infarction
Metabolic disorder (electrolyte abnormality)

Answer: Facial edema & Alcoholism

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