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2, ASTHMA (Managment aim 1.dec. sym. &impact on lifstyle 2. minimize…
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ASTHMA
Managment aim 1.dec. sym. &impact on lifstyle 2. minimize need for reliver medication 3. prevent severe attacks (exacerbations)
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Anti-inflammatory ,e.g. sodium chromoglicate
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Pathophysiology
3.Airway remodeling (epithelial damage, subepithelial fibrosis, increased airway vasculature, increases in proteoglycans, and increased smooth-muscle mass
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Clinical features
signs:expiratory wheezing reduce chest movement prolonged expiration signs of allergic rhinitis mucosal swelling, nasal polyps, and postnasal dripping.atopic dermatitis/eczema
Diagnosis
Skin testing and radioallergosorbent test (RAST) helpful in identifying allergens to which the patient has been sensitized
and to develop a strategy for avoiding allergen exposure
Peripheral eosinophilia and elevated IgE level are supportive of the diagnosis, but are not routinely recommended.
Bronchoprovocation testing by specialist to role out asthma( a trial with inhaled steroids and bronchodilator may be useful in diagnosis.)
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CXRnot recommended unless the diagnosis is in doubt, symptoms are not typical, or to rule out other diagnoses.
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PMH of atopy, FH of asthma and/or atopy
symptoms: cough, wheeze, breathlessness,chest tightness (worse at night/early morning)
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