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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
almost 7 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
almost 7 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
almost 7 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
almost 7 years ago
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0
13

Non-eosinophilic asthma

Stream Non-eosinophilic asthma by BMJ talk medicine from desktop or your mobile device  
feeds.bmj.com
almost 7 years ago
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0
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
almost 7 years ago
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14

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
almost 7 years ago
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1
22

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
almost 7 years ago
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0
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
almost 7 years ago
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1
29

Briefs: Migraine management meets magnesium

Migraines are a common sight during any shift in the ED. I have written about them before, and the benefits of antiemetics and depakote are reasonably well documented. A treatment for refractory headaches that seems to be gaining favor recently is IV magnesium. You may be familiar with Mag and its use in asthma exacerbation, or (gasp) preeclampsia – but emerging evidence suggests that magnesium may help with migraines as well.  
pemcincinnati.com
almost 7 years ago
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20

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
almost 7 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
almost 7 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 6 years ago
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4
177

Asthma and COPD - Pathogenesis and Pathophysiology

A review of the pathology of asthma and COPD, including the role of the immune system, along with the mechanisms behind the hypercapnia and hypoxemia of COPD...  
youtube.com
over 6 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 6 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 6 years ago
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10

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 6 years ago