Can you have asthma without a wheeze?
No, no wheeze then no asthma
What are common symptoms of asthma?
Shortness of breath
What are key things of asthma?
What are key things in the diagnosis of asthma?
Respond to treatment
What similarities are there between children and adult asthma?
What are some differences between adults and childrens asthma?
Gender (prevalence in boys and girls)
Occupational asthma uncommon in children
What is epidemiology?
Branch of medicine which deals with the incidence, distribution and possible control of diseases other factors relating to health
How many UK children suffer from asthma?
1 million children
How many children in Scotland suffer from asthma?
What percentage of UK children are on inhaled steroids?
Where is asthma most common in the world?
Western countries, with the highest pervalence in the UK
What is aetiology?
The cause of disease
What can you say about the causes of asthma?
There are many, all leading to the same final common pathway to asthma
Why do people suffer from asthma at different stages of their lives?
It takes multiple hits to get above the threshold for clinical symptoms
What can you say about testing for asthma?
There is no definitive test for asthma
What is a wheeze the result of?
A narrowing airway due to:
Airway wall thickening
How good are patients, generally, at describing a wheeze?
Most do not know what it is, confusing it with rattle, stridor or stertor
When does shortness of breath at rest occur?
Due to significant respiratory difficulty (less than 30% of lung function) because of airway obstruction
What is the cough due to asthma usually like?
Dry and nocturnal
What are some triggers of asthma?
Viruses (rhinovirus in 75% of cases)
What is the most common virus to trigger asthma?
Rhinovirus (75% of cases)
What is atopy?
Genetic tendency to develop allergic diseases
What does a patient who is suffering from asthma, ideally, show?
Shortness of breath
Responds to treatment
When someone is under 18 months, what are they likey suffering from?
When someone is over 5 years, what are they likely suffering from?
What is something that sounds like asthma, and responds to asthma?
Asthma, regardless of age
What must happen after treatment for asthma?
There must be a response for it to be asthma
When it is not asthma, what could it be instead?
Bronchitis (2-3 years old, wet cough)
Pertussis (fits, vomits, haematoma)
Habitual cough (8 - 12 years old, single loud cough)
Tracheomalacia (lifelong loud cough)
Viral induced wheeze
What are symptoms of bronchitis?
Loose rattly cough
Chest free of wheeze
How long does bacterial bronchitis last?
More than 4 weeks