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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 5 years ago
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0
9

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 5 years ago
Www.bmj
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11

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 5 years ago
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0
13

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 5 years ago
Preview
0
11

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 5 years ago
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17

Update on basic and clinical aspects of eosinophilic oesophagitis

Stream Update on basic and clinical aspects of eosinophilic oesophagitis by BMJ talk medicine from desktop or your mobile device  
feeds.bmj.com
over 5 years ago
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12

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 5 years ago
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13

Non-eosinophilic asthma

Stream Non-eosinophilic asthma by BMJ talk medicine from desktop or your mobile device  
feeds.bmj.com
over 5 years ago
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16

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 5 years ago
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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 5 years ago
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1
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Cardiff University scientists discover asthma's root cause - BBC News

Scientists at Cardiff University discover the potential root cause of asthma for the first time.  
bbc.co.uk
over 5 years ago
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52

Treatment of ACEi-induced angioedema

Introduction 0 ACE-inhibitor induced angioedema (ACEI-AAG) accounts for about a third of angioedema cases presenting to the emergency department.  ACE inhi  
pulmcrit.org
over 5 years ago
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lump-in-my-throat

A 19-year-old-male with no known past medical history, presents in progressive respiratory distress shortly after undergoing a tooth extraction about 6 hours prior to presentation. Symptoms began initially as “a lump in his throat” and difficulty swallowing, but eventually progressed to mild dyspnea after 1-2 hours. Denies FB or allergies. On arrival he appears anxious and is breathing at 18 breaths per minute with an O2 saturation of 100%. There is no stridor at presentation. There is no intra-oral, facial, or obvious neck swelling. There is no skin involvement or abdominal pain, nausea, vomiting or diarrhea. You suspect allergic reaction and give IM epi, IV steroids, benadryl and pepcid. ENT is consulted for scope.  
sinaiem.org
over 5 years ago
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41

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 5 years ago
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23

SGEM#110: I Saw the Signs of Angioedema

Guest Skeptic: Dr. Eric Schneider. Eric is a Community Emergency Medicine Physician in Kansas City, Missouri, who has a drive to bring the most pragmatic, evidence-based and cost-effective care to his patients at an inner city trauma hospital. He’s a father of three, married to a Pathologist, and an avid musician.  
thesgem.com
over 5 years ago
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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 5 years ago
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Hay fever: Can airborne allergies be cured?

It's time to retrain the immune system. From hanging out in cowsheds to overexposure to the culprit – here are some ways that hay fever could be beaten  
feeds.newscientist.com
over 5 years ago
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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 5 years ago
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Hay fever: What happens when an allergy kicks in?

Allergens can get right up your nose, causing symptoms like sneezing and itchy eyes – and it's all down to your own immune system overreacting  
feeds.newscientist.com
over 5 years ago