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The GenerEhlist - CCFP Exam Prep, Low Risk Obstetrics & Canadian Primary Care Medicine

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:
- History
- Physical examination
- Spirometry

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.

Objective Four:
In a known asthmatic with an acute exacerbation:
- Treat the acute episode
- Rule out co-morbid disease
- Determine the need for hospitalization or discharge

Objective Five:
For the ongoing (chronic) treatment of an asthmatic, propose a stepwise management plan including:
- Self-monitoring.
- Self-adjustment of medication
- When to consult back

Objective Six:
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.