A 25-year-old female visits for a 6-month picture and refers to recurrent episodes of dyspnea, chest tightness and wheezing, as well as cough with fits, productive with mucohyaline sputum, without fever. Background: atopic dermatitis in childhood. Her mother is asthmatic and allergic to medications. TA: 120¨80 mmHg, HR: 85 lat. per min FR: 19 res per min. Sat.02 90% The vesicular murmur is present and diminished and has some isolated wheezing. a) What is the most important risk
Case:
A 25-year-old female visits for a 6-month picture and refers to recurrent episodes of dyspnea, chest tightness and wheezing, as well as cough with fits, productive with mucohyaline sputum, without fever.
Background: atopic dermatitis in childhood. Her mother is asthmatic and allergic to medications.
TA: 120¨80 mmHg, HR: 85 lat. per min FR: 19 res per min. Sat.02 90%
The vesicular murmur is present and diminished and has some isolated wheezing.
a) What is the most important risk factor in this patient for developing asthma?
b) What is the hypersensitivity mechanism by which asthma develops in this patient?
c) What is the most important study to confirm the diagnosis of asthma and classify it?
d) What would be the treatment of choice for the long-term control of this patient?
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