Asthma Scenarios. Asthma Scenarios n These assume knowledge of the British Thoracic Society Guidelines.

Slides:

Advertisements

Similar presentations

Chronic Productive Cough Dr. Miao Shang Su. Present History - A 5-year-old girl come to your clinic for the first time. Her mother reports that the child.

Advertisements

DDRC Healthcare – looking at things slightly differently… Asthma

Controlling and Monitoring Asthma Symptoms Hi. I’d like to introduce you to Brandon. Brandon is eight years old. Let me tell you a few things about Brandon.

Controlling and Monitoring Asthma Symptoms Hi. I’d like to introduce you to Brandon. Brandon is eight years old. Let me tell you a few things about Brandon.

Respiratory Care in Children Better Care for Better Outcomes Dr Duncan Keeley GP Thame Thames Valley Strategic Clinical Network.

Respiratory illness in childhood

Sarcoma cancer patient pathways Why do sarcoma cancer patients breach cancer waiting time targets?

4 cases of chest pain. Man of 34 Just returned form 2 weeks in Turkey Flu like symptoms Cough Coughed up blood Pain left lower chest.

Respiratory Disease – Peak Flow Clinical Skills and Simulation Team Respiratory Disease Quiz – Peak Flow Clinical Skills Formative Quiz.

Drug treatment of asthma The University of Western Australia Integrated Paraclinical Sciences Case History Initial consultation: Personal details: Fred.

WHEEZING AND ASTHMA Effective management of continuing symptoms Dr Duncan Keeley.

2008 Guidelines 2.4 DIAGNOSIS IN ADULTS (1) -based on the recognition of a characteristic pattern of symptoms and signs and the absence of an alternative.

Chronic Disease Management in General Practice – Sample Assessment.

Nerves and the arms and legs 4 patients with symptoms.

Take a Deep Breath Asthma in Children Michael W. Peterson, M.D. Professor and Chief of Medicine UCSF Fresno.

4 patients with pains in their legs………………. Mr H 65 years of age Type II Diabetes Developed shortness of breath when walking the dog Worse when he is climbing.

4 cases of chest pain.

Nerves and the arms and legs 4 patients with symptoms.

Asthma Diagnosis Prescribing Acute Management Tracey Bradshaw Respiratory Consultant RIE.

BRONCHIAL ASTHMA YOUSEF ABDULLAH AL TURKI MBBS,DPHC,ABFM

Kane County Children’s Environmental Health Conference

22/06/2011.  Asthma – an introduction (Vanessa)  Diagnosis and management of chronic asthma in line with current BTS guidelines (Dr Lowery)  3 x Case.

1 British Guideline on the Management of Asthma BTS/SIGN British Guideline on the Management of Asthma, May 2008 Introduction Diagnosis Non-pharmacological.

British Guideline on the Management of Asthma. Aims Review of current SIGN/BTS guidelines –Diagnosing Asthma –Stepwise management of Asthma –Managing.

Paediatric Asthma 26 th November 2014 Julie Westwood Asthma Nurse Specialist RHSC

Controlling and Monitoring Asthma Symptoms Hi. I’d like to introduce you to Brandon. Brandon is eight years old. Let me tell you a few things about Brandon.

Ever Orlando Salaiz Acuna Period  Asthma - This disease of the affects breathing by mucus that runs down the trachea.  It affects the lungs.

Lisa Nave Nursing Platt College. Asthma is a chronic inflammatory disease of the lungs characterized by narrowing of the airways in the lungs causing.

Asthma is a chronic inflammatory disease of the airways, characterized by coughing, wheezing, chest tightness, and difficult breathing.

Paediatric Asthma Maria Tracey Paediatric Pharmacist Jane Davis Paediatric Clinical Nurse Specialist CF/Respiratory Royal Alexandra Hospital Paisley.

Asthma is not just a Wheeze. What is Asthma Asthma is a chronic lung disease, which is characterized by attacks of breathing difficulty.

Asthma A brief look at the causes and effects of the common disease By: Jennifer R. Brewster.

Bronchial Asthma  Definition  Patho-physiology  Diagnosis  Management.

MANAGEMENT OF ASTHMA 6 Penaflor, Dominic Quinto, Milraam Ramos,Josefa Victoria Sicat, Gracie Suaco, David Tio- Cuizon, Jeremiah Valenzuela, Virginia Lou.

By Dalia Munoz ASTHMA. is a serious and ongoing disease that affects the airways of both adults and children. Airways are the tubes that carry air in.

TDA 2.2 Safeguarding the welfare of children and young people © Laser Learning Limited under licence to Pearson Education Limited Printing and photocopying.

Hannah Kim. Coughing, especially during night, or wheezing Shortness of breath/ rapid breathing Pale, sweaty face, blue lips Chest tightness, pain, or.

What would be the most usual abnormal PE finding among asthma suspects? A. Wheezing on auscultation B. Wheezing only on forcible exhalation C. Absence.

NYU Medical Grand Rounds Clinical Vignette Verity Schaye, MD PGY-3 September 15, 2010 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.

Billy's Wheezy Chest by Lesley C Hind Billy had a wheezy chest constantly tight and short of breath Winter, Summer it was all the same.

Component 1: Measures of Assessment and Monitoring n Two aspects: –Initial assessment and diagnosis of asthma –Periodic assessment and monitoring.

Presentations of Paediatric Cases for OSCEs Daniel Mattison

Cough Mudher Al-khairalla. A man presents to you with coughing What would you like to know?

Unit 5 Isoniazid Prevention Therapy: B Family Case Botswana National Tuberculosis Programme Manual Training for Medical Officers.

This parameter is most useful for documentation of severity of asthma (a)PEFR (b)FEV1 (c)FVC (d)FEV25.

Diagnosing and Staging Asthma*

Asthma management Happy Health Home Instructor: Ellen Yi-Luen Do Master course in Industrial Design Hae Youn Joung Ran Zhou.

1 Asthma. 2 Disease of the airways that carry air in and out of the lungs Asthma causes: –Airways to narrow –Lining to swell –Cells to produce more mucus.

Controlling and Monitoring Asthma Symptoms Hi. I’d like to introduce you to Brandon. Brandon is eight years old. Let me tell you a few things about Brandon.

P RACTICAL ISSUES IN L ONG T REM M ANAGEMENT OF A STHMA DESPITE REGULAR FOLLOW UP Dr kondekar Santosh TN Medical college Mumbai

Index case pre Christmas Quiz Year 2. How much can you remember from the summer?

CHILDHOOD ASTHMA IN PRIMARY CARE Dr Naushin Hossain GPST1.

Asthma Guidelines, Diagnosis and Management Alison Hughes Respiratory Specialist Nurse Solent NHS Trust.

Asthma Lynn Helliwell. Key Facts More than five million people in the UK are being treated for asthma More than five million people in the UK are being.

Allwin Mercer Dr Andrew Zurek. 1 in 11 people are currently receiving treatment for asthma (5.4 million people in the UK) Every 10 seconds, someone is.

Wheeze and Asthma Key Facts and Updates Dr Reena Bhatt, Paediatric Darzi Fellow in Asthma.

Paediatric Cases for OSCE

Medication Safety Alice Roueché: Consultant Paediatrician

Jessica Case study.

Asthma ( Part 2 ) Dr.kassim.M.sultan F.R.C.P.

Bob Case study.

BRONCHIAL ASTHMA YOUSEF ABDULLAH AL TURKI MBBS,DPHC,ABFM

Asthma/ Wheeze and children

Asthma & Pre-school wheeze Management Plan

Schools Emergency Asthma Initiative Wandsworth and Merton

NAEPP Coordinating Committee

Asthma Allison Ormond, RN Pamlico County Primary School.

Introduction Project At Crown Street Surgery:

Generic COPD Inhalers Online

Presentation transcript:

Asthma Scenarios

Asthma Scenarios n These assume knowledge of the British Thoracic Society Guidelines

Joshua age 4 n Joshua is 4 years old. He has had a persistant cough for weeks that wakes him at night. Every cold goes to his chest This is the fifth consultation for cough in the last year. Only once has a wheeze been documented.

Joshua age 4 n What is the likely diagnosis? n What would you say to the parents? n What treatment would you give? n What follow up will you arrange?

Michael age 16 n Michael is tall for 16 and stands at just over six foot.He has been known to have had asthma for many years. You have called him in for a routine medication review. You note that he is using 2 salbutamol inhalers each month. He denies any problems with his asthma. n On examination his peak flow is 400.

Michael age 16 n What is going through your mind? n What questions will help you determine what to do next?

Michael age 16 n He admits to 2-3 disturbed nights a week. He avoids sport as he is unfit - he gets short of breath. He is reluctant to use inhaled steroids as he wants to join the RAF n Explain how you might handle things from here?

Mrs Williams n Sandra is 60 years old and has had asthma for 4 years. She has attended today as she has a cough, is short of breath and getting disturbed nights. n She is currently on regular salbutamol and beclomethasone 200mcg 2 puffs bd n Discuss your therapeutic options

Mr Smith n A lifelong heavy smoker and asthmatic, the seventy year old Mr Smith is wheezing most days and always is short of breath. He is on regular combivent, beclomethasone 200mcg bd and intermittant salbutamol. He has the offer of a cheap nebuliser and is asking if you will provide the necessary prescriptions

Mr Smith n What is the likely diagnosis? n Discuss the tests likely to help you decide whether to do as Mr Smith wishes. n What are the issues raised by this case?