TUTORIAL II : Page 2

The former clinical data retrieved from his medical record

Nine months ago he went to the Out Patient Department:
Chief complaint:
- red itchy, circumscribed, patches with central blanching on his body
- swollen lips, itchy throat, within an hour after taking Paracetamol orally
Physical examination
Consciousness: compos mentis, Body weight 40 kg, Height 150 cm
Vital signs: Blood pressure 110/70 mmHg, Pulse 80 bpm, regular,
Respiratory rate: 24 x/mnt Temperature : 36,50C.
Head:
Mouth: Lips: oedematous, tender on palpation
Pharynx: hyperemic
Skin:
Almost all over his body : pruritic, circumscribed, erythematous, wheals, with central blanching,
variable size (from 0,5 centimeters to a few centimeters) amorphous. These lesions blanched
on pressure.

Questions:
1. What was the indication of hospitalization for Phillip nine months ago? Why?
2. What is atopy and atopic disease?
3. What are your treatment plan for Phillip?