4.) Bronchial Asthma

Question 1

Define Bronchial asthma ?

Answer 1

Bronchial asthma is a chronic inflammatory disease of the airways causing reversible airway narrowing, wheezing, cough, and shortness of breath, often triggered by allergens, exercise, or infections.

Question 2

Forms ?

Answer 2

Atopic = Genetic disorders auto dominant, most affects children and young adults

Non atopic allergic asthma = Triggered by allergens involves Ige

Question 3

Most common symptoms?

Answer 3

Recurrent episodes of expiratory dyspnea , Wheezing

Dry cough, especially at night or early morning
• Chest tightness

•	Coughing up mucus at the end of an attack

Question 4

Clinical examination

Answer 4

Auscultation, we have prolonged expiratory phase wheezing decreased breath sounds percussion hyperresonant sound diaphragm displacement

Question 5

Diagnosis ?

Answer 5

Spiormetry
Chest X ray
Antibody testing Ige

Question 6

Acute management

Answer 6

SABA ( Albuterol ) mild symptoms

Severe = SAMA ( ipratropium Bromide ) acute quick fix

Inhaled corticosteroids Fluticasone