Written By: Hermeen Dhillon

Reviewed By: Dr. Brandie Walker

 

Objective 1: In patients of all ages with respiratory symptoms (acute, chronic, recurrent): - Include asthma in the differential diagnosis. - Confirm the diagnosis of asthma by appropriate use of: - History - Physical examination - Spirometry

Objective 2: In a child with acute respiratory distress, distinguish asthma or bronchiolitis from croup and foreign body aspiration by taking an appropriate history and doing a physical examination.

Objective 3: In a known asthmatic, presenting either because of an acute exacerbation or for ongoing care, objectively determine the severity of the condition physical examination, spirometry. Do not underestimate severity.

Objective Four: In a known asthmatic with an acute exacerbation: - Treat the acute episode - Rule out co-morbid disease - Determine the need for hospitalization or discharge

Objective Five: For the ongoing (chronic) treatment of an asthmatic, propose a stepwise management plan including: - Self-monitoring. - Self-adjustment of medication - When to consult back

Objective Six: For a known asthmatic patient, who has ongoing or recurrent symptoms: - Assess severity and compliance with medication regimens. - Recommend lifestyle adjustments (e.g., avoiding irritants, triggers) that may result in less recurrence and better control.