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A 77 year old man with asthma and renal impairment

A 77 year old man presented after a collapse at home with a three week history of dyspnoea, malaise, and myalgia. He reported a 10 year history of hypertension, and that he had undergone a nasal polypectomy seven years earlier and had recently been diagnosed as having asthma. Prescribed drugs included candesartan 4 mg daily, enalapril 20 mg daily, beclometasone dipropionate 200 µg twice daily, and salbutamol as needed. He had not recently changed his drugs or used non-steroidal anti-inflammatory agents or herbal remedies. On examination his blood pressure was 156/88 mm Hg; temperature was 36.8°C; and he had generalised polyphonic wheeze, raised jugular venous pressure (5 cm above the sternal angle), and mild bilateral ankle oedema.  
feeds.bmj.com
over 4 years ago
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12

A 77 year old man with asthma and renal impairment

A 77 year old man presented after a collapse at home with a three week history of dyspnoea, malaise, and myalgia. He reported a 10 year history of hypertension, and that he had undergone a nasal polypectomy seven years earlier and had recently been diagnosed as having asthma. Prescribed drugs included candesartan 4 mg daily, enalapril 20 mg daily, beclometasone dipropionate 200 µg twice daily, and salbutamol as needed. He had not recently changed his drugs or used non-steroidal anti-inflammatory agents or herbal remedies. On examination his blood pressure was 156/88 mm Hg; temperature was 36.8°C; and he had generalised polyphonic wheeze, raised jugular venous pressure (5 cm above the sternal angle), and mild bilateral ankle oedema.  
feeds.bmj.com
over 4 years ago
Preview
0
10

A 77 year old man with asthma and renal impairment

A 77 year old man presented after a collapse at home with a three week history of dyspnoea, malaise, and myalgia. He reported a 10 year history of hypertension, and that he had undergone a nasal polypectomy seven years earlier and had recently been diagnosed as having asthma. Prescribed drugs included candesartan 4 mg daily, enalapril 20 mg daily, beclometasone dipropionate 200 µg twice daily, and salbutamol as needed. He had not recently changed his drugs or used non-steroidal anti-inflammatory agents or herbal remedies. On examination his blood pressure was 156/88 mm Hg; temperature was 36.8°C; and he had generalised polyphonic wheeze, raised jugular venous pressure (5 cm above the sternal angle), and mild bilateral ankle oedema.  
feeds.bmj.com
over 4 years ago
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11

The genomic origins of asthma

Stream The genomic origins of asthma by BMJ talk medicine from desktop or your mobile device  
feeds.bmj.com
over 4 years ago
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12

Non-eosinophilic asthma

Stream Non-eosinophilic asthma by BMJ talk medicine from desktop or your mobile device  
feeds.bmj.com
over 4 years ago
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15

Journal club: Lebrikizumab treatment in adults with asthma

Stream Journal club: Lebrikizumab treatment in adults with asthma by BMJ talk medicine from desktop or your mobile device  
feeds.bmj.com
over 4 years ago
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12

Bronchi and the bugs: what kickstarts asthma

Stream Bronchi and the bugs: what kickstarts asthma by BMJ talk medicine from desktop or your mobile device  
feeds.bmj.com
over 4 years ago
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40

THUNDERSTORM ASTHMA

I always thought ‘thunderstorm asthma’, localised epidemics of asthma associated with thunderstorms, was semi-factoid.  Not so.  Apparently, thunderstorms do cause asthma spikes in asthma ED attendance. This is elegantly shown in a recent Emerg Med J.  
scancrit.com
over 4 years ago
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19

SGEM#52: Breakfast at Glenfield – Asthma, Social Media and Knowledge Translation

Podcast Link: SGEM52 Date:  November 7, 2013 Title: Breakfast at Glenfield – Asthma, Social Media and Knowledge Translation  
thesgem.com
over 4 years ago
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13

Hay fever: Do allergies change over time?

From asthma to shellfish allergies, hay fever may be just the start of a cascade of related conditions. What's more, we could become more susceptible with age  
feeds.newscientist.com
over 4 years ago
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8

Imaging Case of the Week 152

The following inspiratory and expiratory chest x-rays are from a 20 year old with an asthma exacerbation. What can be seen?  
emergucate.com
over 4 years ago
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44

Asthma and COPD - An introduction

An introduction to obstructive lung disease, including definitions of asthma, chronic bronchitis, emphysema, and COPD, and a paradigm of how the diseases all...  
youtube.com
over 4 years ago
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14

Is it better to add long-acting muscarinic antagonists or long-acting beta2-agonists to inhaled corticosteroids for people with uncontrolled asthma? | Cochrane

Differences between long-acting muscarinic antagonists (LAMA) and long-acting beta2-agonists (LABA) are mostly small or uncertain, based on studies less than six months in duration. The current evidence is not strong enough to support using LAMA instead of LABA for people whose asthma is not controlled on inhaled corticosteroids.  
cochrane.org
over 4 years ago
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Unsafe asthma prescribing 'must end' - BBC News

Tens of thousands of people with asthma in the UK are not getting the right medicines to keep their condition safely under control, according to an audit.  
bbc.co.uk
over 4 years ago
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8

Imaging Case of the Week 157

The following chest x-ray is from an adolescent who has been intubated following a critical asthma presentation. What radiological sign can be seen? It is very subtle.  
emergucate.com
over 4 years ago
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What is the evidence for stopping long-acting beta2-agonists for adults with stable asthma using combination therapy? | Cochrane

Stopping long-acting beta2-agonists (LABA) for adults whose asthma is stable with LABA and inhaled corticosteroid (ICS) treatment may increase the number of asthma attacks that require treatment with extra corticosteroids, but this remains uncertain. Stopping LABA may also slightly reduce quality of life and asthma control. We could not tell whether stopping LABA changed serious side effects or the likelihood of having to go to the hospital for an asthma attack.  
cochrane.org
over 4 years ago
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12

Magnesium for Asthma

Thanks to Dr. Kim for the writeup of this post Case A 36-year-old female with a history of asthma presents with wheezing, tachypnea, and a room air O2  
jeffem.org
over 4 years ago
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3

Can taking inhaled corticosteroids when needed for symptoms help people with mild asthma from becoming more unwell? | Cochrane

Daily inhaled corticosteroids (ICS) are the mainstay of medications prescribed for people with asthma who have ongoing difficulty with their breathing. However, for those with a milder form of the condition, it is hard to predict when their asthma will get worse and so many people do not use their inhaler regularly. In this review, we compared the use of ICS used intermittently at the start of an asthma episode with placebo treatment in children and adults with mild asthma (two trials representing 385 participants) and in preschool children deemed to be at risk of developing asthma symptoms in the future (four trials representing 490 participants).  
cochrane.org
over 4 years ago