36 yr old female non diabetic non hypertensive k/c/o bronchial asthma on budecort (200 mcg) inhaler c/o sob n cough ige raised dd/investigations/rx???

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Acute exacerbation of bronchial asthma. X -ray chest, CBC and allergy testing. Reassurance and councelling required. Protect against exposure to extreme bad weather conditions and mental stress. Antibiotics and antihistamine orally. Bronchodilator orally. Change in life style. Steroid nebulization+saline specially during night.

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DDs : HIES..Asthma.*Pulmonary Eosinophilia/Filariasis. Bronchitis.Chronic Urticaria.*Mastocytosis.*HSP. *WG.Investigate & treat accordingly.(Advised Collagen profile).

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Diagnosis : Acute exacerbation of bronchial asthma D/d Allergic bronchitis Investigation : chest x ray, CBC, AEC, Allergy testing Full Treatment: Antihistaminic Brinchodilator, oral steroids Hetrazan bd Nebulised patient

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May consider iv followed by oral steroids. AEC nad DEC accordingly. Give ICS LABA combination. Evaluate for ABPA.

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It could be due to Eosinophilia which is very common in Asthma

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And advise CBC and peripheral smear examination and get it done by the pathologist and not by any layperson

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Pulmonary Eosinophilia with Asthmatic Bronchitis

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BLOOD = ABSOLUTE EOSINOPHIL COUNT LUNG FUNCTION TEST RX MONTELEKUST + LEVOCETRIZINE ALONG WITH BUDICORT INHALER

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High IgE.. Consider..Atopic Asthma.

You can give dose of DEC also

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