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Chronic Asthma Asthma inhaler (Examination (History, Symptom patterns,…
Chronic Asthma
Characteristics
Causes
Environment
Genetic
Pathogenesis
Bronchial hyperresponsiveness
Bronchial smooth muscle contraction
Mucosal edema
Mucus hypersecretion
Risks/Triggers
Infections
Exercise
Allergies
Stress
Aspirin
Perinatal factors
Diet/obesity
Exposure allergens
Family history
Complications
Acute exacerbations
Status asthmaticus
Bronchial remodeling
Lower responsiveness to therapy
Signs & Symptoms
Signs
Wheezing
Pulsus paradoxus
Tachycardia
Tachypnea
Pursed lips
Upright posture
Use of accessory muscles
Inability to speak
Symptoms
Dyspnea
Chest tightness
Coughing
Exercise intolerance
Examination
History
Symptom patterns
Auscultation
Oximetry
investigations
Management
Investigations
PFTS
Bronchial challenge
Allergy testing
Referral to pulmonary
Treatment
Step-up or Step-down
Long-acting Beta2 agonists & Inhaled Corticosteroids
Monoclonals
Methylxanthines
Leukotriene receptor antagonist
Leukotriene inhibitors