Case 18

John Stradling, Andrew Stanton, Najib Rahman, Annabel Nickol and Helen Davies

in Oxford Case Histories in Respiratory Medicine

Published on behalf of Oxford University Press

Published in print July 2010 | ISBN: 9780199556373
Published online November 2012 | e-ISBN: 9780191753299 | DOI:

Series: Oxford Case Histories

Case 18

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A 48-year-old Caucasian woman presented to her general practitioner with dyspnoea on minimal exertion. She was wheezy on examination, peak flow was 210L/min (predicted = 470) and she was therefore diagnosed with asthma and started on inhaled b2 agonist and inhaled steroid. Despite this, she continued to deteriorate, but responded well to a short course of oral steroids. She was started on a combined high-dose steroid and long-acting b2 agonist inhaler, and provided with inhaler technique education. On review 1 month later, her peak flows had stabilized at around 370L/min and an asthma treatment plan was drawn up with the patient.

Chapter.  1460 words.  Illustrated.

Subjects: Respiratory Medicine and Pulmonology

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