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i-Human Patients Tiffany Wentz-Reflection

According to Dixon, A.E., Holguin, F., Sood, A., Salome, C.M, Pratley, R.E., Beuther,

D.A., et al. (2010), asthma is as changeable inflammation of airways, by reoccurring attacks

of shortness of breath, cough, and wheeze, affecting all ages. Airway obstruction and

bronchial responsiveness are connected to asthma, these symptoms are related to factors,

such as atopy, obesity, reflux, stressors, and obstructive sleep apnea. Asthma is diagnosed by

physical exam and symptomatology. Signs and symptoms of respiratory distress, rhinitis,

nasal irritation and swelling, prolonged expiratory phases, and triggers of symptoms help in

the diagnosis.

Provide a rationale for the questions you asked during the history examination.

When diagnosing a patient with asthma it is helpful to ask the patient if they have a

family history of asthma. A familial history of asthma, allergies or eczema escalates a

patient’s chances of having asthma. Ask the patient to explain their symptoms. Having them

to describe their symptoms lets the provider determine if it is asthma, or if there are other

coexisting conditions such as GERD, or sinusitis. The question of do you know what triggers

your asthma? Studies demonstrated that patients presenting with asthma have a high rate of

sensitization to the indoor allergen. About 50% of more of adults will have an allergic

component to their disease. How frequently are you having asthma, and how long do they

last? Give an idea of whether the patient is taking their medications and how well the asthma

is being controlled (Jarvis, C., 2012).

Provide a rationale for the physical exam that was conducted on the patient.