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Scenario
Khalid is a 4 years old boy presented to PHC complaining of
persistent Cough & Shortness of Breath for two days :
Cough: Wasn't productive, Worsened at night (Disturbing
Sleep).
today day of presentation to PHC the patient started
complaining of sever Dyspnea on top of previous cough.
No previous symptoms of either Dyspnea or Cough.
Important Negatives:
No Chest Pain
No Palpitation
No Vomiting
No fever
History
Past Medical & Surgical Hx:
.None
Allergies:
DDx
Influenza
Bronchial Asthma.
pneumonia .
Acute bronchiolitis
Sinusitis
Examination
Vitals:
HR=140 BPM
70-120 High
RR=30
Temperature=37.1 Co
BP:107/56
O2 Sat=92%
96-98
14-22
High
Low
Examination
Respiratory examinations :
DDx
Influenza
Bronchial Asthma.
pneumonia .
Acute bronchiolitis
Sinusitis
Bronchial Asthma
Bronchial Asthma
Triggers of Asthma:
1. Allergens
2. Irritants: Infections, Chemicals
Diet/Medications , Emotional stress
Exercise and Cold temperature .
Epidemiology
Pathophysiology
Airway inflammation
airflow obstruction
Bronchial hyperresponsiveness
Airway inflammation
Airway inflammation
Airway obstruction
Airway obstruction
Diagnosis of Asthma
Pattern of symptoms
Spirometry.
Clinical Features
Spirometry
Management
Management
Treatment course at PHC :
Patient was given Oxygen
+
Ventolin Steam in PHC
Management
:Treatment course at home
Pulmicort
Ventoline
nebulizer 5 mg BID
for 2 days then PRN.
Thank you