See also:
Cough/shortness of breath Ddx
Asthma exacerbation
Hx
Shortness of breath
Cough
Wheezing
Worse in cold air
Recurrent episodes
Workup
CBC
CXR
Peak flow measurement
PFTs
Methacholine challenge test
Patient classifications
Intermittent
Persistent
Mild
Moderate
Severe
Sx
Cough is the most common symptom
Wheezing typical, but not necessarily present
Dx
Asthma is a clinical diagnosis
Note
Poor adherence to medications is the number one cause of suboptimal control
Short term obstruction in asthma is due to
Edema
Mucous
Bronchospasm
70% of patients with asthma have persistent asthma, only 30% are truly intermittent asthma
Tx, long-term asthma control medications
Inhaled corticosteroids
Leukotriene modifiers such as Motelukast (Singulair)
Long-acting beta agonists (LABA) such as Salmeterol or Formoterol
Theophylline
Combination inhalers
Mast cell stabilizers such as Cromolyn sodium
IgE binders such as Omalizumab (Xolair)
Tx, rescue medications
Short-active beta agonists (SABA) like Albuterol
Ipratropium
Oral corticosteroids such as Prednisone or methylprednisolone
IV corticosteroids such as methylprednisolone