CC: Wheezy
Diagnosis:
Asthma
Differential diagnosis:
Bronchiectasis
Sinusitis , allergic rhinitis
What will you do?
Spirometry
If normal spirometry ?
Do PFT
Repeat spirometry
Trial treatment
Peak flow meter testing at home
Bronchial challenge tes ( methacholine )
Management:
Non pharmacological
Education
Asthma action plan
Vaccination
Stop smoke
Pharmacological ( based on GINA guideline
Follow up in OPD by : asthma control test ( ACT )
If nasal polyps? Options available :
Intranasal steroids
Surgery
Biologics like dupilumab, omalizumab & mepolizumab
