Asthma diagnosis

A "yes" answer to any question suggests that asthma diagnosis is likely. 

Simpson WG. Gastroesophageal reflux disease and asthma. Diagnosis and management. Arch Intern Med 1995 155 798-803. 

Prasad, B., Wood, H., Greer, J. E. and McCalla, G. I., A Knowledge-Based System for Tutoring Bronchial Asthma Diagnosis Unpublished Manuscript, 1988. 

Sigsgaard T and Schlunssen V (2004) Occupational asthma diagnosis in workers exposed to organic dust. Ann Agric Environ Med ll(l) l-7... 

QMB-based electronic layers were used for many applications. As an example, metaUopoiph5nlns-coated QMB were used in a large variety of application in the fields of food analysis and medical diagnosis. Examples in food analysis fish freshness, food aroma detection, and microbiological contamination of cereals. Noteworthy results in medical diagnosis have been obtained for lung cancer and asthma diagnosis. ... 

Amantuni, V.G. and Saiarian, M.D. (1986a). Metabolic aspects of the differential diagnosis of chronic asthmatic bronchitis and bronchial asthma. Ter. Arkh. 58, 12-14. 

Increased serum concentrations of IgE or eosinophils may help confirm the diagnosis of asthma but are not diagnostic for asthma. 

Spirometry, an objective measure of pulmonary function, can be used to assist in confirming the diagnosis of asthma. The primary pulmonary function tests used to assist in the diagnosis of asthma are the forced expiratory volume in... 

Expert Panel Report. Guidelines for the Diagnosis and Management of Asthma. Update on Selected Topics 2002 http //www.nhlbi.nih.gov/ guidelines/asthma/asthmafullrpt.pdf accessed August 2005, used with permission. 

Dykewicz MS, Fineman S. Executive summary of joint task force of practice parameters on diagnosis and management of rhinitis. Ann Allergy Asthma Immunol 1998 81(2) 463-468. 

National Asthma Education Program. Guidelines for the diagnosis and treatment of asthma II. Bethesda National Institutes of Health, 1997. 

A 40-year-old male with a diagnosis of moderate to severe asthma is placed on zileuton. What is the mechanism of action of zileuton ... 

The diagnosis of asthma is made primarily by a history of recurrent episodes of coughing, wheezing, chest tightness, or shortness of breath and confirmatory spirometry. 

FIGURE 80-2. Home management of acute asthma exacerbation. Patients at risk of asthma-related death should receive immediate clinical attention after initial treatment. Additional therapy may be required. (MDI, metered-dose inhaler PEF, peak expiratory flow.) (Adapted from NHLBI, National Asthma Education and Prevention Program, Expert Panel Report 2. Guidelines for the Diagnosis and Management of Asthma. NIH Publication No. 97-4051. Bethesda, MD U.S. Department of Health and Human Services, 1997.)... 

Medical indications Chronic pulmonary disease (excluding asthma) chronic cardiovascular diseases, diabetes mellitus chronic liver diseases, including liver disease as a result of alcohol abuse (e.g., cirrhosis) chronic alcoholism, chronic renal failure or nephrotic syndrome functional or anatomic asplenia (e.g, sickle cell disease or splenectomy [if elective splenectomy is planned, vaccinate at least 2 weeks before surgery]) immunosuppressive conditions and cochlear implants and cerebrospinal fluid leaks. Vaccinate as close to HIV diagnosis as possible. 

Clinicians agree that diagnosis of OA requires demonstration of a direct causal relationship between the onset of asthma symptoms with the work environment and not to elements encountered outside the workplace. 

SIC are not performed all the time as some clinicians don t have access to these specialized centers or none are available. For some sensitizers, a challenge test is not needed since other information is available and sufficient to prove OA. For example, if an allergen has been identified in the workplace and the worker is sensitized to the allergen and has asthma symptoms at work that resolve or improve away from work then the causal relationship can be ascertained and diagnosis of OA be reported. 

Moscato, G. et al., Occupational asthma a longitudinal study on the clinical and socioeconomic outcome after diagnosis, Chest, 115, 249, 1999. 

Cannon, J., Cullinan, P. and Newman-Taylor, A.J., Consequences of a diagnosis of occupational asthma A controlled study. Thorax, 49, 390P, 1994. 

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