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                Asthma diagnosis

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Up | Anatomy lungs | Why asthma occurs | Asthma symptoms | Triggers of asthma | Asthma attack | Asthma diagnosis | Goals asthma therapy | Signs worsening asthma | Management asthma | Asthma children

Sample questions for the diagnosis and initial assessment of asthma.

 

A yes to any question suggests that asthma is likely.

In the past 12 months ...

  • Sudden severe episode or recurrent episodes of coughing, wheezing, or shortness of breath.

  • Colds that go to chest or take more than 10 days to get over.

  • Coughing, wheezing, or shortness of breath during a particular season or time of the year.

  • Coughing, wheezing, or shortness of breath in certain places or when exposed to certain things (e.g. animals, tobacco smoke, perfumes.)

  • Ever used any medicines that help you breathe better, and how often.

  • Are your symptoms relieved when the medications are used.

 

In the past 4 weeks, any episodes of coughing, wheezing, or shortness of breath.

 

  • At night that has awakened you.

  • In the early morning.

  • After running, moderate exertion, or other physical activity.

 

 

                                                   

                          

                        Spirometry                                                 Peak flow meter

 

 

Diagnosis of Asthma
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It is based upon typical history and clinical examination of lungs.

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In doubtful cases, Spirometry is done to confirm or rule out asthma.

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Spirometry is also used, to assess improvement or deterioration of condition of lungs and to study effects of medicines and aggravating factors in a known case of asthma.

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Peak flow meter is used, to both diagnose and to monitor condition of lungs in an asthma patients in a day to day basis.

 

Spiro meter 
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A machine that measures and records the amount of inhaled and exhaled air, used to test the health of the lungs. Information is recorded on a chart, called a Spiro gram

 

Spirometry

 
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Laboratory test of the lungs by means of a Spiro meter.

 

Related investigations in a patient of asthma.
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Spirometry. (Pulmonary or lung function test-PFT)

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Peak flow meter measurement.

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X ray Chest.( assess degree of lung damage, chest infection)

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Absolute Eosinophils count. ( measures  amount of allergy)

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Blood counts and Hemoglobin.

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Arterial blood gas analysis to measure blood levels of oxygen and carbon dioxide in case of serious patients.

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Skin tests for allergy when indicated.

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Sputum examination for inflammatory ceils, bacteria, mucus plugs).

 

 

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