ABSTRACT
We describe a case of an eupnoeic patient complaining of a foreign body sensation in his mouth and throat, with sudden drooling and supine gagging. This condition was caused by an isolated uvular angioedema (Quincke's oedema). As this uvular hydrops did not decrease with initial standard therapy for angioedema, epinephrin was applied directly on the swollen uvula, causing it to shrink very rapidly. Isolated uvular oedema is a potentially life-threatening condition with risk of sudden upper airway obstruction, and should therefore be recognized and treated as soon as possible. As described in this case, its initial presentation can consist of gagging and drooling without dyspnoea, thus causing a real challenge for triage and diagnosis.
Subject(s)
Angioedema/diagnosis , Gagging , Sialorrhea , Adult , Angioedema/drug therapy , Angioedema/physiopathology , Emergency Service, Hospital , Epinephrine/therapeutic use , Humans , Male , Supine Position , Time Factors , UvulaABSTRACT
Emergency care is an important link in the chain of care for geriatric patients. Due to the specific physiological, psychological, and social needs of elderly people, the type and quantity of emergency care are different for this group of patients than for other age groups. Consequently, they have a significant impact on the health care system. Doctors and nurses working in an emergency department must be aware of this specific situation and adjust the care that they provide accordingly. Appropriate communication between health care providers and patients, a sound assessment of functional status and cognitive ability, and specific attention to verbal and written discharge guidelines are indispensable.
