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?

A

A wheeze

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?

A
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?

A

No

24
Q

What features of personal history are important in diagnosing asthma?

A

Allergies

Family history

25
Q

What factors should be present to diagnose asthma?

A
  • wheeze
  • shortness of breath at rest
  • sinusoidal
  • atopy
  • parental asthma
  • responds to treatment
26
Q

What condition may cause an asthma-like wheeze but is not multi-trigger or sinusoidal?

A

Viral induced wheeze

27
Q

What type of cough is not indicative of asthma?

A

An isolated cough

28
Q

What type of cough is indicative of asthma?

A

Dry cough

29
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
30
Q

Give a reason for not treating bacterial bronchitis?

A

It is a self limiting infection

31
Q

Pertussis is a condition more commonly known as what?

A

Whooping cough

32
Q

How can you reduce the risk and severity of pertussis?

A

With vaccination

33
Q

Give the clinical symptoms of pertussis

A
  • coughing fits
  • vomiting
  • colour change
  • petichiae
34
Q

The diagnosis of asthma can be confirmed with a trial of what?

A

ICS (Inhaled Corticosteroids)