Clinical Features of Asthma in Adults and Children Flashcards

1
Q

What are the common symptoms of asthma when exacerbated?

A

Wheeze
Cough
Shortness of breath

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2
Q

What are the common symptoms of asthma when exacerbated?

A

Wheeze
Cough
Shortness of breath

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3
Q

What are the 5 settings of asthma?

A
  • infant onset
  • childhood onset
  • adult onset
  • excertional asthma
  • occupation asthma
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4
Q

What predisposing factors may make someone susceptible to developing asthma?

A
  • genetic factors
  • inherently abnormal lung
  • early onset atopy
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5
Q

Is asthma a consistent or inconsistent disease?

A

Inconsistent

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6
Q

Why might asthma be difficult to diagnose?

A

There is no specific asthma test

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7
Q

What is the “must have” symptom in order for asthma to be diagnosed?

A

A wheeze

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8
Q

What changes are there in the airways in asthma?

A

Bronchoconstriction
Airway wall thickening
Luminal secretions

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9
Q

What sounds may be heard when breathing that can distinguish between asthma or another condition?

A

Rattle
Stridor
Stertor

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10
Q

Shortness of breath at rest indicates what percentage of lung function?

A
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11
Q

Give a trigger of asthma

A
  • URTI (commonly Rhinovirus)
  • exercise
  • allergens
  • cold air
  • emotion
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12
Q

Give a trigger of asthma

A
  • URTI (commonly Rhinovirus)
  • exercise
  • allergens
  • cold air
  • emotion
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13
Q

What are the 5 settings of asthma?

A
  • infant onset
  • childhood onset
  • adult onset
  • excertional asthma
  • occupation asthma
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14
Q

What predisposing factors may make someone susceptible to developing asthma?

A
  • genetic factors
  • inherently abnormal lung
  • early onset atopy
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15
Q

Is asthma a consistent or inconsistent disease?

A

Inconsistent

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16
Q

Why might asthma be difficult to diagnose?

A

There is no specific asthma test

17
Q

What is the “must have” symptom in order for asthma to be diagnosed?

18
Q

Bacterial bronchitis is a condition that may be mistaken for asthma, what are its clinical features?

A
  • recurrent wet cough
  • “Darth Vader” like breathing
  • palpable fremitus
  • an otherwise well child
19
Q

What sounds may be heard when breathing that can distinguish between asthma or another condition?

A

Rattle
Stridor
Stertor

20
Q

Shortness of breath at rest indicates what percentage of lung function?

21
Q

What features are present in an asthmatic cough?

A

Dry
Non-productive
Nocturnal
Exertional

22
Q

Give a trigger of asthma

A
  • URTI (commonly Rhinovirus)
  • exercise
  • allergens
  • cold air
  • emotion
23
Q

Does atopy cause asthma?

24
Q

What features of personal history are important in diagnosing asthma?

A

Allergies

Family history

25
What factors should be present to diagnose asthma?
- wheeze - shortness of breath at rest - sinusoidal - atopy - parental asthma - responds to treatment
26
What condition may cause an asthma-like wheeze but is not multi-trigger or sinusoidal?
Viral induced wheeze
27
What type of cough is not indicative of asthma?
An isolated cough
28
What type of cough is indicative of asthma?
Dry cough
29
Bacterial bronchitis is a condition that may be mistaken for asthma, what are its clinical features?
- recurrent wet cough - "Darth Vader" like breathing - palpable fremitus - an otherwise well child
30
Give a reason for not treating bacterial bronchitis?
It is a self limiting infection
31
Pertussis is a condition more commonly known as what?
Whooping cough
32
How can you reduce the risk and severity of pertussis?
With vaccination
33
Give the clinical symptoms of pertussis
- coughing fits - vomiting - colour change - petichiae
34
The diagnosis of asthma can be confirmed with a trial of what?
ICS (Inhaled Corticosteroids)