Highlights
Module 5 Case Study Asthma
Jackson Smith, a 18 year-old male, was admitted to the Emergency Department at 9pm with severe breathlessness. His family informed you that the patient has a
history of Asthma that had been diagnosed when he was two years old.
On admission to the Emergency Department the clinical manifestations were:
• Severe dyspnoea, inability to speak sentences in one breath
• Respiratory rate of 32 breaths/minute
• Sp02 94%, on room air
• Pulse rate of 130 beats/minute
• Auscultation of lungs identifies diminished breath sounds and widespread wheeze
• Chest x-ray shows clear and hyper-inflated lung fields
A provisional diagnosis of Acute Severe Asthma is made.
Question Explain the pathogenesis causing the clinical manifestations with which Mr Smith presented.
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