• Atopic child (eczema, allergic rhinitis) who presents with severe respiratory distress, hypotension, edema of the face and hands and subglottic narrowing on AP x-ray, most consistent with anaphylactic shock
• Although the history of respiratory distress and stridor in a patient without childhood vaccinations should raise concern for epiglottitis (in which case we would treat with intubation + antibiotics), this diagnosis would lead to sore throat, high fever and drooling and would not as commonly lead to hypotension and would not lead to edema of the face/hands or subglottic narrowing

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