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post in: Lifestyle, Beauty, Health Date:15 Oct 2017, 05:24 views:2703
A detailed assessment of the medical history should address the following: Whether symptoms are attributable to asthma.
Whether findings support the likelihood of asthma (eg, family history).
Asthma severity, identification of possible precipitating factors, family history may be pertinent for asthma, allergy, sinusitis, rhinitis, eczema, and nasal polyps.
The social history may include home characteristics, smoking, workplace or school characteristics, educational level, employment, social support, factors that may contribute to nonadherence of asthma medications, and illicit drug use.
The patients exacerbation history is important with respect to the following: Usual prodromal signs or symptoms. Rapidity islam of onset, associated illnesses, number in the last year, need for emergency department visits, hospitalizations, ICU admissions, intubations.
Missed days from work or school or activity limitation. The patients perception of his or her asthma is important regarding knowledge of asthma and treatment, use of medications, coping mechanisms, family support, and economic resources. General manifestations of asthma, wheezing, a musical, high-pitched, whistling sound produced by airflow turbulence, is one of the most ionizing common symptoms.
In the mildest form, wheezing is only end expiratory. As severity increases, the wheeze lasts throughout expiration. In a more severe asthmatic episode, wheezing is also present during inspiration.