Dec 20, 2020
Written By: Hermeen Dhillon
Reviewed By: Dr. Brandie Walker
Objective 1: In patients of all ages with respiratory symptoms
(acute, chronic, recurrent):
- Include asthma in the differential diagnosis.
- Confirm the diagnosis of asthma by appropriate use of:
- Physical examination
Objective 2: In a child with acute respiratory distress, distinguish asthma or bronchiolitis from croup and foreign body aspiration by taking an appropriate history and doing a physical examination.
Objective 3: In a known asthmatic, presenting either because of an acute exacerbation or for ongoing care, objectively determine the severity of the condition physical examination, spirometry. Do not underestimate severity.
In a known asthmatic with an acute exacerbation:
- Treat the acute episode
- Rule out co-morbid disease
- Determine the need for hospitalization or discharge
For the ongoing (chronic) treatment of an asthmatic, propose a stepwise management plan including:
- Self-adjustment of medication
- When to consult back
For a known asthmatic patient, who has ongoing or recurrent symptoms:
- Assess severity and compliance with medication regimens.
- Recommend lifestyle adjustments (e.g., avoiding irritants, triggers) that may result in less recurrence and better control.