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12 Cards in this Set

  • Front
  • Back

Unique characteristic of asthma compared to others?

Reversible in nature.

Types of asthma.

Extrinsic:- Type I HR, ext. Ag (house dust containing mite & pollen), ⬆️IgE, childhood, H/O atopy.



Intrinsic:- adult. Viral inf., Drugs( NAIDS), Cold.

On taking pain killers, why asthemic patients still have broncospasm?

AA---COX( inhibited by painkillers)-PG


AA--- LOX- LTs- bs.

Notorious drug which can cause asthma attack?

NSAIDS----- Aspirin.


These people have a SAMTER'S tried:-


a. Aspirin intolerance


b. Asthma


c. Adult nasal polyps.

Nasal polyp history.

Adult- any of SAMTER'S tried.


Child- cystic fibrosis.

Cp of asthma.

Dyspnoea, wheezing, nocturnal cough--indicate extrinsic asthma.

Diagnosis of asthma.

1.spirometry.


2. Sputum examination



3. "Airway Remodeling".

Characteristic of asthemic sputum.

{curschman spirals- airway of epi. getting detached n form zig zag b/c of air trapping in b/w.charcot- Leyden crystal- (GALACTIN 10).creola bodies- degenerated epi. cells}

Airway Remodeling.

AL-


SBM- more deposition of collagen in bm.


E- presence of eosinophils+ mucus glands.


SM- more thick, ⬆️ in no. n size.

Increase smooth muscle qualification is assisted by activity of which gene?

ADAM 33 gene.----SM+ fibroblast.

Severity of asthma.

YKL 40 protein


If concentration of ykl-40 protein is higher then person is having more severe asthma.

Rx in asthma.

1. Salbutamol, terbutaline, salmeterol, formeterol.....bronchodilators.


2. Steroids...to reduce inflammation.


3. Montelukast.