Arfoosh: Wheezing & dyspnea in other conditions

Question 1

***What is the protocol treatment for EIB (exercise-induced bronchoconstriction)?

Answer 1

Before exercise: -2 puffs of SABA 15 mins prior to exercise If that doesn’t work, or if patient requires a SABA daily (not dealing with EIB): -Daily ICS (may take 2-4 weeks of tx to see max improval) -Daily Leukotriene receptor antagonist -Mast Cell Stabilizing Agent prior to exercise

Question 2

***Describe the 5 groups of Pulmonary Arterial HTN (PAH).

Answer 2

Group 1: PAH Group 2: Due to left heart disease Group 3: Due to lung diseases or hypoxemia Group 4: Chronic Thromboembolitic Pulmonary HTN Group 5: Pulm HTN with unclear multifactoral mechanisms

Question 3

***Flow Volume Loops

Answer 3

PIC