Rotations 2.0 Episode 12 COPD

Episode 12 COPD

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Intro: Rock Christmas/ Christmas Music by tramp963

Outro: The Ocean by Grand Project

Courtesy of Pixabay for non-commercial educational use

Produced by: Todd Fredricks DO MSS

Edited by: Todd Fredricks DO MSS

Questions and Answers from Episode 11 Asthma

Question 1: Diagnosis of Asthma in Patients on Controller Treatment 

Question: A 35-year-old woman presents to your clinic with a history of recurrent wheezing and shortness of breath. She has been using an inhaled corticosteroid (ICS) and long-acting beta-agonist (LABA) combination inhaler for the past year. To confirm the diagnosis of asthma, what is the most appropriate test to perform?

• a. Spirometry before and after bronchodilator

Question 2: Treatment for Mild Asthma

Question: A 25-year-old man with mild asthma presents to your clinic. He experiences occasional wheezing and shortness of breath, requiring his short-acting beta-agonist (SABA) inhaler a few times a month. According to the 2022 GINA guidelines, what is the recommended treatment for this patient?

• c. Start as-needed combination ICS-formoterol

Question 3: Assessing Symptom Control and Management

Question: A 40-year-old woman with asthma is on low-dose ICS-LABA as maintenance therapy and uses SABA as needed for symptom relief. She reports using her SABA inhaler on three different days each week. According to GINA guidelines, what should be the next step in her management?

• c. Review her adherence to maintenance medication and inhaler technique

Paper for Next Week

Jason Womack, MD, and Jill Kropa, MD, Community-Acquired Pneumonia in Adults: Rapid Evidence Review, American Family Physician, Vol 105,6 June 2022

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