Asthma – intermediate probability – do spirometry first-line If the FEV1/FVC < 0.7 then a trial of treatment is appropriate. Otherwise further investigations should be performed Asthma: diagnosis in adults The 2008 British Thoracic Society guidelinesmarked a subtle change in …
Please see the 2010 NICE guidelines for further details. Patients can now be diagnosed with ‘mild’ COPD if their FEV1 predicted is > 80% if they have symptoms suggestive of COPD. COPD: investigation and diagnosis NICE recommend considering a diagnosis …
Asthma: stepwise management in adults The management of stable asthma is now well established with a step-wise approach: Step 1 Inhaled short-acting B2 agonist as required Step 2 Add inhaled steroid at 200-800 mcg/day* 400 mcg is an appropriate starting …
Pregnancy: DVT/PE investigation Guidelines were updated in 2010 by the Royal College of Obstetricians. Key points include: chest x-ray should be performed in all patients – compression duplex Doppler should be performed if the chest x-ray is normal – this …
CTPA is the first line investigation for PE according to current BTS guidelines This is a difficult question to answer as both computed tomographic pulmonary angiography (CTPA) and ventilation-perfusion scanning are commonly used in UK clinical practice. The 2003 British …
Asthma: acute severe Patients with acute severe asthma are stratified into moderate, severe or life-threatening Moderate Severe Life-threatening • PEF > 50% best or predicted • Speech normal • RR < 25 / min • Pulse < 110 bpm1 • …
Asthma: stepwise management in adults The management of stable asthma is now well established with a step-wise approach: Step 1 Inhaled short-acting B2 agonist as required Step 2 Add inhaled steroid at 200-800 mcg/day* 400 mcg is an appropriate starting …
The British Thoracic Society suggest peripheral tingling is one of the factors which makes a diagnosis of asthma less likely. His smoking history does not preclude a diagnosis of asthma Asthma: diagnosis in adults The 2008 British Thoracic Society guidelinesmarked …
Current guidelines do not support the routine use of non-invasive ventilation in asthmatics. Asthma: acute severe Patients with acute severe asthma are stratified into moderate, severe or life-threatening Moderate Severe Life-threatening • PEF > 50% best or predicted • Speech …
COPD: investigation and diagnosis NICE recommend considering a diagnosis of COPD in patients over 35 years of age who are smokers or exsmokersand have symptoms such as exertional breathlessness, chronic cough or regular sputum production. The following investigations are recommended …