raj_2008
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A PATIENT AT ER WITH SHORTNESS OF BREATH, TACHYPNEA, TACHCARDIA, AFEBRILE, NOT ON MEDICATIONS, WITH NASAL POLYPS ON EXAMINATION WITH EXTENSIVE WHEEZE BILATERALLY .........
1.)NEXT STEP IN MANAGEMENT? IS IT INVESTIGATION OR TREATMENT?
2.)INITIAL DIAGNOSTIC TEST?
3.)ASUMING THIS AS A CASE OF ASTHMA, THEN WHAT WILL BE THE INITIAL DIAGNOSTIC TEST... IS IT XRAY CHEST OR PFT?
4.)MOST ACCURATE DIAGNOSTIC TEST IN ASTHMA?
5.) CAUSE OF DEATH IN ASTHMA AND COPD, AS THESE 2 ARE THE 4TH MOST COMMON CAUSE OF DEATH?
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"EXCELLENCE IS NEVER AN ACCIDENT, IT IS THE RESULT OF SINCERE EFFORT, SKILFUL EXECUTION AND THE VISION TO SEE OBSTACLES AS OPPURTUNITIES"
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| ssrpk
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1) in emergent cases - intervention takes priority over investigations
2) peak expiratory flow (PEF) and/or FEV1 and reversibilty testing with a bronchodilator.
3)CXR is not the initial but should be performed ro rule out infectiions and rare but fatal complication of pneumothorax
4) sputum cytology or raised IgE levels + positive skin tests or maybe reversibilty testing of PFTs...not so sure!
5) i think respiratory failure or may be infections
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| raj_2008
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thank you very much.....
___________________
"EXCELLENCE IS NEVER AN ACCIDENT, IT IS THE RESULT OF SINCERE EFFORT, SKILFUL EXECUTION AND THE VISION TO SEE OBSTACLES AS OPPURTUNITIES"
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