1 / 5

Diagnosing and Staging Asthma*

Diagnosing and Staging Asthma*. Cyril Grum, M.D. Department of Internal Medicine. *Based on the University of Michigan Guidelines for Clinic Care and the National Asthma Education and Prevention Progam (NAEPP) 2002 Update. First, make the correct diagnosis.

martha-sanford
Télécharger la présentation

Diagnosing and Staging Asthma*

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Diagnosing and Staging Asthma* Cyril Grum, M.D. Department of Internal Medicine *Based on the University of Michigan Guidelines for Clinic Care and the National Asthma Education and Prevention Progam (NAEPP) 2002 Update

  2. First, make the correct diagnosis • episodic symptoms of airway obstruction present • airflow obstruction present and is at least partially reversible • alternative diagnoses excluded Elements of a diagnosis of asthma:

  3. Symptoms suggesting asthma • Cough • An attack, or recurrent attacks, of wheezing • Shortness of breath or chest tightness • Nocturnal cough • Exercise-induced cough or wheezing • Onset of symptoms after exposure to airborne allergens or other stimuli • History of persistent respiratory tract infections • Conditions associated with asthma (e.g., nasal polyps, rhinitis, atopic dermatitis, etc.)

  4. Classification by asthma severity (from MMWR March 28, 2003 / 52(RR06);1-8) Refer to document “Normal PEF tables.pdf” for normal values

  5. Home monitoring of Peak Expiratory Flow (PEF) • Green Zone(80-100% of personal best) • “all clear” no change in therapy; if asymptomatic for a prolonged period, consider reduction in medication with monitoring. • Yellow Zone(50-80% of personal best) • “caution” suboptimal control or early exacerbation. • Red Zone(< 50% of personal best) • “alert” initiate more intense treatment , often a course of steroids.

More Related