Asthma

Question 1

[…] episodes of symptoms and symptom […], which may be triggered by […], smoke, exercise or […] hair –> ESTABLISH WHAT CHILD WAS DOING AT TIME OF ATTACK

Answer 1

recurrent, variability
dust, animal

Question 2

Ddx of asthma in children

Answer 2

respiratory tract infections, viral wheeze, foreign body inhalation, bronchiolitis, allergic reactions or anaphylaxis.

Question 3

RFs
Family history of asthma
History of […] (allergy/eczema)

Answer 3

atopy

Question 4

Investigations
- […] peak flow readings
- spirometry
- […] testing may be helpful

Answer 4

Serial
FeNO

Question 5

Stepwise management of chronic asthma in children

1. Personalised asthma […]

(use […] device for MDI delivery)
2.
a. Inhaled […] PRN
b. Add very low dose ICS (or […] if <5 years)
c. Step 3: Very low dose ICS and:
- Age < 5 years old: LTRA
- Age > 5 years old: LTRA or LABA
d. No response to LABA: Consider stopping […] and increase ICS to low-dose
e. […] and specialist referral +/- daily […] tablet

Answer 5

plan
spacer
SABA
LTRA
LABA
theophylline
steroid

Question 6

Age at which asthma would be unlikely to present

Answer 6

<5yo