asthma Flashcards
DDx of chronic cough in kids
asthma persistent bacterial bronchitis chronic suppurative lung disease/bronchoiectasis (CF) recurrent pneumonia aspiration interstitial lung disease airway abnormality cardiac cause
risk factors for asthma
atopic ezcema male (>10 years old) female (adults) genetic disposition airway hyper-responsiveness
asthma is
chronic disease of the airways that may cause wheezing, breathlessness, chest tightness
-bronchial smooth muscle constriction
natural history of asthma
most kids, wheezing before 6 years of age is usually benign
- certain sub groups of kids have higher risk
- deficits in lung function in 6-7 years of age
most common cause of wheezing in infants and kids
viral respiratory infections
-cause respiratory epithelial damage-> poor regulation of inflammation-> epithelial reprogramming
NT in asthma
acetylcholine
-works on M3 receptor in airway
help in asthma
promote sympathetic system-> bronchodilation
acute wheezing in kids
acute infection
foreign body
chronic wheezing in kids
structural
cardiac
mediastinal masses
medicine to not give with nasal polyps
aspirin (allergy)