GIM Question 27

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.

  1. What information in this patient’s history make you concerned for a severe asthma exacerbation?
  2. What physical exam signs would you look for to determine the severity of his asthma exacerbation?
  3. What is your acute management of this patient?

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