A 25 year old man presents to emerge with dyspnea and wheezing on exam. He states that last week he developed a “cold.” He has a 10-year history of asthma. Last year he was admitted to hospital three times for asthma exacerbations, with one ICU admission. He has a personal and family history of atopy.
- What information in this patient’s history make you concerned for a severe asthma exacerbation?
- What physical exam signs would you look for to determine the severity of his asthma exacerbation?
- What is your acute management of this patient?