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  • (Normal) Normal OLD: (Disappeared Wheezing Bas Sign It Means Patient Cannot Move Any Air)

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    Maryam Fadah
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    Asthma mainly affects young people and can later cause lung deterioration. It involves bronchospasm, inflammation, and airway obstruction in response to allergens. Patients experience wheezing, shortness of breath, and coughing. Late diagnoses can show diminished lung sounds, hyper-resonance, and hyper-inflated lungs. Pulmonary function tests are used for diagnosis and show reversible airway obstruction. Treatment involves bronchodilators like short-acting beta agonists and inhaled corticosteroids for milder cases, and additional medications for more severe or refractory asthma.

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    Asthma

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    Asthma mainly affects young people and can later cause lung deterioration. It involves bronchospasm, inflammation, and airway obstruction in response to allergens. Patients experience wheezing, shortness of breath, and coughing. Late diagnoses can show diminished lung sounds, hyper-resonance, and hyper-inflated lungs. Pulmonary function tests are used for diagnosis and show reversible airway obstruction. Treatment involves bronchodilators like short-acting beta agonists and inhaled corticosteroids for milder cases, and additional medications for more severe or refractory asthma.

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    9 views2 pages

    (Normal) Normal OLD: (Disappeared Wheezing Bas Sign It Means Patient Cannot Move Any Air)

    Uploaded by

    Maryam Fadah
    Asthma mainly affects young people and can later cause lung deterioration. It involves bronchospasm, inflammation, and airway obstruction in response to allergens. Patients experience wheezing, shortness of breath, and coughing. Late diagnoses can show diminished lung sounds, hyper-resonance, and hyper-inflated lungs. Pulmonary function tests are used for diagnosis and show reversible airway obstruction. Treatment involves bronchodilators like short-acting beta agonists and inhaled corticosteroids for milder cases, and additional medications for more severe or refractory asthma.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Asthma

    Mainly in young Age


    Later in life it causes degeneration of the lung parenchyma.

    Patho: Bronchoconstriction
    Inflammation
    Obstruction lung disease (OLD)
    IgE-Mast.

    Pt: Wheezing (consider OLD other than asthma), shortness of breath, cough.
    Atopy, Asthma, Allergy
    Response to allergens

    Late asthma diagnoses:


    - Lung sound (disappeared wheezing; bas sign it means patient cannot move any air)
    Ominous
    - Hyper-resonance
    (Loud, lower pitched sound over areas that normally produce a resonant sound).
    Hyper-inflated lung (Emphysema)

    Dx: PFTs (Pulmonary/lung function test) = OLD = FEV1/FVC 

    Asthma Day Reversible: Beta Agonist


    Night FEV1 Treatment
    I Intermittent
    Normal
    <2/weekOLD <2/mo 80% Producable:
    (normal) AchSABA
    Agonist
    II mild PFTs <1/day <1/week 80% SABA + ICS
    III moderate 1 day 1 week 60-80% SABA + ICS +
    LABA
    IV severe
    Methylcholine 1 day Frequent 60% SABA + ICS +
    Albuterol
    (Induce asthma) LABA
    (Bronchodilator)
    V Refractory
    (Bronchoconstriction)
    Oral
    - + + - corticosteroids

    Asthma

    Asthma Athletic Asthma COPD

    18y 65y

    TX:
    Bronchodilators
    - SABA short acting beta agonist
    - LABA Long acting beta agonist

    Anti-histamines
    - ICS Inhaled corticosteroids
    - LTs leukotriene antagonists
    Severe
    From the wrap-up session
    Anti-IgE

    ICS+SABA+SAA

    LABA/LAA

    SABA/SAA
    Mild
    Smoking cessation

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