1 / 7

Charlie

Charlie. Case study. Part 1: the story so far…. 18-month old infant with cough and wheeze and a history of eczema Family history of asthma and eczema On examination there is mild sub-costal recession, hyperinflation of the chest with a prominent sternum and widespread wheeze

redford
Download Presentation

Charlie

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Charlie Case study

  2. Part 1: the story so far… • 18-month old infant with cough and wheeze and a history of eczema • Family history of asthma and eczema • On examination there is mild sub-costal recession, hyperinflation of the chest with a prominent sternum and widespread wheeze • Evidence of eczema.

  3. Part 1: questions How do you eliminate most of the possible causes of Charlie’s symptoms? What questions do you ask about the family?

  4. Part 1: key point • Diagnose before treating

  5. Part 2: the story continues… • Diagnosed with asthma • Age 5 years, starting school, control lost • Symptomatic with inhaled corticosteroids 200mcg bd

  6. Part 2: questions What do you think is the appropriate next step for management of Charlie’s symptoms? Should Charlie be referred for specialist assessment?

  7. Part 2: key point • Add inhaled long-acting ß2 agonists rather than increasing dose of inhaled steroids (above 800mcg/day in adults and 400mcg/day in children) in children from 5 years onwards

More Related