Wheezing and Asthma

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Chief Compliant: The patient is a 50 year old white male with hypertension who complains of wheezing for one day.

History of the Present Illness: Onset, duration, and progression of wheezing; severity of attack compared to previous episodes; cough, fever, chills, purulent sputum; current and baseline peak flow rate. Frequency of bronchodilator use, relief of symptoms by bronchodila-tors. Frequency of exacerbations and hospitalizations or emergency department visits; duration of past exacerbations, steroid dependency, history of intubation, home oxygen or nebulizer use.

Precipitating factors, exposure to allergens (foods, pollen, animals, drugs); seasons that provoke symptoms; exacerbation by exercise, aspirin, beta- blockers, recent upper respiratory infection; chest pain, foreign body aspiration. Worsening at night or with infection.

Treatment given in emergency room and response.

Past Medical History: Previous episodes of asthma, COPD, pneumonia. Baseline arterial blood gas results; past pulmonary function testing.

Family History: Family history of asthma, allergies, hay-fever, atopic dermatitis.

Social History: Smoking, alcohol.

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Coping with Asthma

Coping with Asthma

If you suffer with asthma, you will no doubt be familiar with the uncomfortable sensations as your bronchial tubes begin to narrow and your muscles around them start to tighten. A sticky mucus known as phlegm begins to produce and increase within your bronchial tubes and you begin to wheeze, cough and struggle to breathe.

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