{"id":708,"date":"2015-10-12T00:18:51","date_gmt":"2015-10-12T00:18:51","guid":{"rendered":"http:\/\/hfhpulm.com\/info\/?p=708"},"modified":"2015-10-12T00:18:51","modified_gmt":"2015-10-12T00:18:51","slug":"obstructive-airway-disorders-part-1","status":"publish","type":"post","link":"https:\/\/hfhpulm.com\/info\/?p=708","title":{"rendered":"Obstructive Airway Disorders &#8211; Part 1"},"content":{"rendered":"<div>You&#8217;re seeing a 25-year-old female patient with a history of asthma for a new patient evaluation. She is a lifelong nonsmoker, and gives a history of 1-2 tablespoons of sputum production daily.\u00a0 On review of systems she has a history of intermittent crampy abdominal pain that hasn&#8217;t been formally evaluated yet.<\/div>\n<div>Results of in-office spirometry show a FEV1\/FVC of 70% and FEV1 60% predicted. She feels her asthma is poorly controlled, as she has daily wheezing, and she wakes up most nights with cough and sputum.<\/div>\n<div><\/div>\n<div>You prescribe her medications for her asthma according to the severity of spirometry and frequency of symptoms. (What do you prescribe?)<\/div>\n<div><\/div>\n<div>Three months later she returns to your clinic and she has been using short acting bronchodilators daily and has been to urgent care once since she last saw you.<\/div>\n<p>How would you now classify her asthma? By what major\/minor criteria?<\/p>\n<div>Name three diseases on your differential diagnosis that can be associated with her asthma.<\/div>\n<div><\/div>\n<div>Which of these choices is the best next test to perform?<\/div>\n<div>Chest radiography<\/div>\n<div>\n<div>HRCT of the chest<\/div>\n<div>Culture of sputum<\/div>\n<\/div>\n<p>What additional tests should be performed to evaluate the diseases on your differential diagnosis list?<\/p>\n<p>See this for a brief synopsis: <a href=\"http:\/\/hfhpulm.com\/info\/wp-content\/uploads\/2015\/10\/ATS-core-curriculum-pulm.pdf\">ATS core curriculum pulm<\/a><\/p>\n<p>Also see: Barker AF, Bergeron A, Rom WN, Hertz MI. Obliterative bronchiolitis. N Engl J Med 2014;370:1820\u20131828, <a href=\"http:\/\/hfhpulm.com\/info\/wp-content\/uploads\/2015\/10\/Concise-Review-AJRCCM.pdf\">Concise Review AJRCCM, <\/a><a href=\"http:\/\/hfhpulm.com\/info\/wp-content\/uploads\/2015\/10\/MANAGEMENT-OF-DIFFICULT-TO-TREAT-ASTHMA.pdf\">MANAGEMENT OF DIFFICULT TO TREAT ASTHMA<\/a><a href=\"http:\/\/hfhpulm.com\/info\/wp-content\/uploads\/2015\/10\/Concise-Review-AJRCCM.pdf\"><br \/>\n<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Stay tuned for part 2.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>You&rsquo;re seeing a 25-year-old female patient with a history of asthma for a new patient evaluation. She is a lifelong nonsmoker, and gives a history of 1-2 tablespoons of sputum production daily.&nbsp; On review of systems she has a history of intermittent crampy abdominal pain that hasn&rsquo;t been formally evaluated yet. Results of in-office spirometry [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-708","post","type-post","status-publish","format-standard","hentry","category-curriculum"],"modified_by":"Geneva Tatem","_links":{"self":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/708","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=708"}],"version-history":[{"count":6,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/708\/revisions"}],"predecessor-version":[{"id":717,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/708\/revisions\/717"}],"wp:attachment":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=708"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=708"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=708"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}