Asthma Case Study Essay

History of Present Illness: Mr. Olson is a very pleasant 57-year-old gentleman with multiple medical problems to include severe COPD, who is here today for an initial consultation for his shortness of breath. He is followed by a pulmonologist Dr. William Goodman, at the Veteran Affairs Administration. His last evaluation there was in February 2015. Mr. Olson states he has had ongoing dyspnea on exertion over the last two years. He complains of minimal cough. He does note some sinus problems for which he is on Flovent. In the past, he has had pulmonary function testing that did demonstrate reversible airflow obstruction, therefore he likely has some component of asthma overlay. He states that occasionally has chest tightness and chest heaviness. He has gained about 25 pounds over the last year. He is currently using Spiriva, albuterol as needed as well as Symbicort. He is also using supplemental oxygen at 2.5L per minute at night as well as on an as needed basis during the day. Mr. Olson admits to continued tobacco use with about a half pack to a pack a day. He states that when he is feeling depressed, he will smoke more.

Acute severe asthma previously called status asthmaticus is a life threatening medical condition characterized by bouts of repeated and worsening cough, wheezing, chest recession and inability to speak or drink that may result in acute respiratory failure and even death.1 These patients are also at risk for developing serious complications like aspiration pneumonia, pneumo-mediastinum, pneumothorax and hypoxic brain injury etc. 1Inhaled high dose short acting β2 agonists like salbutamol along with systemic steroids and supplemental oxygen are considered as first line treatment in all patients who

According to the provider, the claimant's cough has been improved. His review of systems was positive for fatigue, malaise, sleep difficulty, shortness of breath, wheezes, and a cough. His blood pressure was 115/71 mmHg and his BMI was 30.35 kg/m2. The physical examination revealed wheezes. Clonazepam was prescribed for agitation. Atorvastatin, Nystatin, Citalopram, and a probiotic were prescribed. Continued use of Aspirin and a regular inhaler were suggested. Further, a follow-up visit with Endocrinology, Cardiology, and Pulmonology. As it relates to a spot in his lung, a repeat CT scan was recommended. The bronchial washes were negative for

F.T. is a 70-year-old African American man who comes to the emergency department complaining of increased shortness of breath. He states that he started using his albuterol inhaler every 4 hours a few days ago, but does not seem to be helping. He has been having trouble sleeping and basic activities due to his shortness of breath.

This is 51 year old AAF. Patient is here complaining of several issues as listed. Patietn reports for the past several days she had increased SOB at rest, non-productive cough, adiouble wheezes. Patient denies chest pain, N/V/ D. Patient is a current tobacco user wit 20 pack year hisotyr. Denies use of alcohol or illicit drug use. Denies depressive moods, current pain 3/10.

History of Present Illness: Ms. Johnson is a very pleasant 66-year-old woman who was previously evaluated in this office by Elvira Aguila, MD for the diagnosis of asthma. She was last seen in January 2015. She states that overall, she has done well. However, over the last two to three weeks, she has noticed increasing shortness of breath as well as productive cough, rhinorrhea and postnasal drip. She states that she has been using her rescue inhaler above and beyond what is normal for her up to 10 times a day yesterday and she states that she has had some improvement in her symptoms with her short acting bronchodilator. She denies any fevers or chills.

During the clinical experience, I was able to care for a patient with the diagnosis of adult onset asthma. J. D. was a twenty-year-old with a one-year history of mild persistent asthma. His body mass index was 30, and he was a former 1/2 pack per day smoker for one year. Also, other lifestyle factors included social alcohol drinking (1-2 drinks per/day) over the last year since he moved out on his own. He did not regularly exercise, and he admitted to not using his daily Qvar. He lives with a roommate that does smoke in the apartment. His sister was the only family member with asthma and was diagnosed in childhood. He was being treated with a low dose inhaled daily corticosteroid (Qvar 80 mcg/daily) and a short-acting

In the mid-summer of 2000, I was "Twin B" born at 38 weeks. When I was a-week old, I developed a high temperature fever. After changing my formula four times, my parents found out that I was allergic to milk proteins. A few weeks later, I developed a cough that literally took my breath away, and I would cough so much that my face would turn blue. Doctors had given me several types of nebulizer treatments in order to deliver a water vapor medicine into my lungs, which did not work. Then, I lost my voice due to vocal-cord paralysis, which tied ends to a whooping cough. As a result, I was hospitalized for more than a month. When I came home, I still had no voice to cry like a normal baby. Thus began my condition of asthma, evidently inherited

For over hundreds of years, people have been dealing with respiratory issues .There are many types of respiratory issues, for example, asthma, bronchitis, etc. Galen, a Greco-Roman doctor discovered asthma and it was due to bronchial obstruction. Asthma is an illness in which your airways start to narrow and swell up and create extra mucus. There are 5 different types of asthma. Which are Allergic Asthma, Cough-Variant Asthma, Occupational Asthma (Work-Related Asthma), Nocturnal (Nighttime Asthma), and Health Conditions That Mimic Asthma. Bronchitis is an inflammation of the lining of the bronchial tubes. These tubes carry air to and from the lungs. Bronchitis and asthma are both very common diseases. The are at least 3 million cases reported

Asthma is a disease that affects over 25 million people in the United States, including 7 million children. Asthma affects the lower airways and is characterized by bronchial hyperresponsiviness and decreased airflow. People suffer from asthma attacks, which cause the lungs to become swollen and inflamed thus making it difficult to breath. These attacks range in severity from mild, moderate or severe. Symptoms include wheezing, shortness of breath, coughing and chest pain. These symptoms can affect people on a daily basis or on occasion (Zanni, 2013).

As the disease progresses, remodeling of the airways occurs leading to chronic disease if left untreated (NAEPP, 2007). Symptoms of asthma often include wheezing, chest tightness, coughing, and shortness of breath or difficulty breathing (CDC 2011). The diagnosis of asthma is not only clinical but also can be supported by Pulmonary Function Test, allergy tests, and chest X-Ray. Asthma’s severity can be classified as mild, moderate or severe depending on the intensity of the presenting symptoms. Based on the severity, treatment can range from short acting beta agonist like albuterol to corticosteroids to an Emergency Room (ER) visit for uncontrolled asthma not responding to treatment. Complications related to asthma can be life threatening leading to death if left untreated. According to the CDC, asthma kills on average 9 people each day (CDC

From the information gathered from the case study above, SE asthma is not well controlled because, she has been using her albuterol metered- dose inhaler approximately three to four days a week over the last two months. She has been awakened by cough three nights during the last month. She has shortness of breath during exercise, which does not usually occur to her during exercise. She has been hospitalized two times in the last year due to her asthma exacerbation and SE has visited the emergency department six times for the past six months due to asthma symptoms and exacerbation

As a young doctor on call in one of the leading hospital in Nigeria, I had a patient, an 8 year old girl that presented with breathing difficulty accompanied with wheeze. The picture fitted so well into an acute asthmatic attack and we began management along that line. There was an initial improvement but this improvement wasn 't as expected and this made us probe further. The patient’s mother attested to the fact

Several diseases that mimic asthma should be considered during the assessment of a child with severe or difficult asthma (Table 2). These include: structural airway abnormality, Intrabronchial obstruction, aspiration, gastroesophageal reflux with/without recurrent microaspiration, cystic fibrosis, ciliary dyskinesia, immune dysfunction, bronchiectasis, pulmonary edema, lung disease of prematurity, bronchiolitis obliterans syndrome, hypersensitivity pneumonitis.

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