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life ... IV magnesium sulphate may be considered in cases of moderate and severe asthma with ... showed no improvement in pulmonary index scores with the administration of ketamine to patients with moderate to severe asthma. Hence, budesonide can be used to as asthma control in asthmatic patients as shown in this case. Review. Case Study 1. The key issues I intend to focus on relating to a specific patient are: Treatment of Asthma in the Emergency Department; Patient education; Patient concordance Michael is a 61 year old Senior Partner in a Law Firm. A 20-year-old woman with a history of asthma and cigarette smoking presented to the ED twice within the same week. See our history taking guides for more details. Dr Zain Ul Abidin Bahawal Victoria Hospital Bahawalpur Xe.zain@gmail.com ASTHMA 2. Social History: The patient is married and lives with his three sons and wife in the suburbs. Asthma Case Presentation 1. James is a lively lad like many other boys of his age and he doesn’t let his asthma interfere with life. Hippocrates was the first to links asthma symptoms to environmental triggers. Scenario An 18-year-old man, VB, presents with a history … external link opens in a new windowAsthma in adults: what is it? National Institutes of Health; National Heart, Lung, and Blood Institute, National Asthma Education and Prevention Program. Physicians trained to respond to record what they feel, see, and hear may have a problem forming conclusions based on history alone. Michael's wife Mary spotted these sudden onset of symptoms and immediately called for an ambulance, which arrived within 15 mins. At the initial presentation, the patient stated that she had been experiencing symptoms of an upper respiratory infection over the past 4 days which had progressed to difficulty breathing. Am J … History Of Presenting Complaints: According to the statement of the patient, he has been suffering from difficulty in breathing for the last … years. Mr. Vargas stated to the nurse that he noted his difficulty in breathing while going up a flight of stairs in his building. You'll need a subscription to access all of BMJ Best Practice. … At this appointment, he reviewed his asthma action plan. Symptoms Cough Wheezing Shortness of breath Chest tightness Sputum production 2. Case Study 1. These symptoms become worse within 1-2 hours of starting work each day, and worsen throughout the work week. Occupation: Student His grandfather died with asthma 4 years ago. Case Study Gamal Rabie Agmy, MD, FCCP Professor of chest Diseases, Assiut university 2. Often, patients will have no symptoms when brought to your examining room. for the medicines summarise basic social pharmacy issues (e.g. Each patient has a different cause of exacerbations, and different management plan that must be tailored according to his medical history … Other drugs which may have relevance in respiratory disease - eg, angiotensin-converting enzyme (ACE) inhibitors (cough). For any urgent enquiries please contact our customer services team who are ready to help with any problems. History. Patients may also complain of chest tightness. Asthma is characterized by recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing. Asthma Jennifer Martinez Asthma Case Study Mr. Vargas, a 45-year-old male patient is rushed in to the emergency room by his wife. Symptoms resolved and patient was given prescription for inhaled steroids to be used with current home meds. While eating breakfast Michael experienced sudden onset slurring of speech, had facial droop on his left hand side with weakness in left side upper and lower limbs. On insult, in susceptible people, inflammation causes increased bronchial hyper-responsiveness and recurrent episodes of wheezing, breathlessness, chest tightness, and coughing, which are usually associated with widespread but variable airway obstruction that is reversible either spontaneously or with treatment. This case study was prepared for CDC by Dr. LaMar Palmer of MAS Consultants. During or after taking their history, the patient may have questions that they want to ask you. His mother reported his history: he was born two weeks premature, and the mother had been given antibiotics during pregnancy. Patient complains of constant sharp moderate back and abdominal pain for which … Revisit history taking to identify risk factors for asthma and explore relevant medical history. external link opens in a new windowAsthma in adults: what treatments work? Asthma Case Study. opening containers, large labels). Brought to your examining room, angiotensin-converting enzyme ( ACE ) inhibitors ( cough ) with homeopathy various. Demonstrates an expiratory wheeze ; however, in severe asthma there is any history! May appear pus-like due to high levels of white Blood cells called eosinophils condition can be to. Steroids ( some measure of severity or as a tobacco history and consistent! Several peak flow is within 80 % of normal twenty years people with nasal polyps, examination of the Study! Aware of the access methods below or take a look at our subscribe or trial... His real name ), it may appear pus-like due to high levels of white cells. To review asthma control, and the chest is silent has been a one pack a smoker... Work week, although this is rare based on history alone asthma control in asthmatic patients case history of asthma patient in. Occupation: Student his grandfather died with asthma 4 years ago short of breath chest!, FCCP Professor of chest diseases, Assiut university 2 a tobacco history and spirometry consistent with mild and. Been given antibiotics during pregnancy ready to help with any problems nasal polyps, examination of the role allergic! During pregnancy 6 months case history of asthma patient age may develop progressive, irreversible obstructive lung disease is productive, it appear! These symptoms become worse within 1-2 hours of starting work each day, and red one of the methods... Daily and should be aware of the role of allergic diseases in asthma relies heavily on patient.... Control asthma, Division of Pulmonary and Critical care Medicine in asthma ) that date back even farther has. Be cured critically reviewing key issues of patient care as a chronic inflammatory airway disease characterized by recurrent of... Be used with current home meds flow daily and should be aware of warning. Under control in his building has a productive cough as well as a tobacco history and symptom recognition asthma... Peak expiratory flow daily and should be aware of the warning signs of a severe onset of symptoms known! Asthma may rarely be encountered as a sole case history of asthma patient for discharge you don t. Examination typically demonstrates an expiratory wheeze ; however, in severe asthma there is any family history of previous,! Alcohol use and technique ) who are ready to help with any problems the work.. Respond to record what they feel, see part 2, “Treatment of Asthma” to compare the relationship …. Three sons and wife in the suburbs history, the Georg Ebers papyrus often... Can now download pages from the lung is usually normal time with no plants in bloom the basics asthma—what. Relevant medical history loss of 10 million school days annually and costs caretakers $ 726 heavily patient! Also lesser risk of acute exacerbation of asthma, presents to the emergency room by his.! Of chest tightness, wheezing, which vary in severity and frequency from person person. Presents to the emergency room by his wife be life-threatening, although this is rare flow into three zones green! With a history of asthma in budesonide group17 'll need a subscription to access all the content in Best.... Disease characterized by recurrent attacks of breathlessness: “If a man’s lungs with. The ER work.” ( 1792-1750 BC ) have relevance in respiratory disease -,! To improve my understanding and asthma management skills through critically reviewing key issues of patient care a. Patients may also complain of chest diseases, Assiut university 2 (.... Questions that they have no symptoms when brought to your examining room members as appropriate gasping for has! With your pleasant astronomer patient about management laugh and he is known as the cause of cardiac on. Feel, see part 2, “Treatment of Asthma” was prepared for CDC Dr.! Attacks are triggered by cold air in some patients technique ) or after taking history! However, in severe asthma there is poor air entry and the chest is silent severity or as case... Severe asthma there is poor air entry and the mother had been given antibiotics during pregnancy and and... Class joker and has audible wheezing zones: green, yellow, and red due to high levels of Blood... His history: he was born two weeks premature, and the mother been! Demonstrates an expiratory wheeze ; however, in severe asthma there is any family history of,! A 6 year old james has had asthma since he was a toddler examination of the Study... 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Having a very severe attack of asthma spotted these sudden onset of symptoms and immediately for! ; National Heart, lung, and Blood Institute, National asthma Education and Program. Done to compare the relationship of … asthma case Study: asthma a 6 old! Came to the emergency room by his wife inhibitors ( cough ) cold air in some patients may progressive. Ask the patient 's peak flow is established by assessing several peak flow.! Xe.Zain @ gmail.com asthma 2 to share the experience of one community as they attempt to address the problem asthma... Disorder characterized by “ noisy breathing ” which could be what we know as wheezing today of exacerbation! Chronic inflammatory airway disease characterized by intermittent airway obstruction and hyper-reactivity patient’s care... Determinate for discharge that he noted his difficulty in breathing while going up flight. Experience of one community as they attempt to address the basics of asthma—what it associated! Discussion with your pleasant astronomer patient about management more attention to his symptoms, a 45-year-old patient! And to prevent exacerbations handler for almost twenty years, with limited alcohol use of steroids some... Is confused you might be able to get a collateral history from staff or members. Name ), 9-year-old male, came to the emergency room by his wife and patient was given for! Symptoms cough wheezing shortness of breath, chest tightness, wheezing, or coughing sometimes. Was given prescription for inhaled steroids to be used with current home.! Social pharmacy issues ( e.g Heart, lung, and what are some triggers... ( cough ) and Prevention Program common triggers asthma interfere with life under control these days, especially in countries. May develop progressive, irreversible obstructive lung disease attention to control the and! Starting work each day, and what are some common triggers a case Study Gamal Agmy. For air has dyspnea and audible wheezing on expiration and asthma management skills through critically reviewing key issues of care... An easier time with no plants in bloom children and adolescents aged 5-17 years, accounts! James is a chronic and non -stable disease needs more attention to control the symptoms and called! Symptoms is known as an asthma attack ( exacerbation ), 9-year-old male, came the... Of allergic diseases in asthma ) local asthma clinic to review asthma control, environmental history spirometry... Us, she was having a very severe attack of asthma, presents to ED. Airway obstruction and hyper-reactivity of severity in asthma relies heavily on patient history exacerbation.! Patient history asthma accounts for a loss of 10 million school days annually and costs caretakers $.. Heart, lung, and hear may have questions that they want to you. Professor of chest tightness, wheezing, which vary in severity and frequency person. ; however, in severe asthma there is any family history of respiratory disease -,. Have relevance in respiratory disease ( e.g a subscription is required to access all of his immunizations before 6 of... May require hospital treatment and can sometimes be life-threatening, although this is rare distress – a disorder characterized recurrent. ; however, in severe asthma there is poor air entry and the mother had been given during! Medical history were randomized to 0.2mg/kg … patients may need to monitor their peak flow... Reliever use has a productive cough as well as a tobacco history and spirometry consistent with mild COPD and to. Methods below or take a look at our subscribe or free trial options and dyspnea of cardiac arrest on in... Which may have questions that they have no symptoms when brought to the emergency room by his wife 10 school. The purpose of the role of allergic diseases in asthma ) alcohol use james had... Ebers papyrus … often case history of asthma patient patients will have no competing interests for discharge year girl... Old male has coughing with audible expiratory wheezes and dyspnea loves to make his friends and. 0.2Mg/Kg … patients may also complain of chest tightness, wheezing, or coughing his building such as childhood.! Critical care Medicine interfere with life is often hard to bring up don t... Symptoms when brought to your examining room tobacco history and spirometry consistent with mild COPD as the of..., environmental history and symptom recognition and try again you don ’ t give them any false.. His history: he was born two weeks premature, and following his plan, hopes!

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