Does your asthma patient actually have asthma?

Today in Parkland morning report, we discussed how to deal with an asthma patient that is not responding to optimal therapy. Dr. Vadia reminded us how important our social history is as it may demonstrate hidden allergens that your patient is being exposed to.

Remember to consider co-morbidities that are worsening their asthma symptoms including these common diseases:

  1. Allergic rhinitis
  2. Sinusitis
  3. GERD
  4. Obesity

Then, if they still continue to be non-responders, consider alternative diagnoses that may have been mis-diagnosed as asthma and will not respond to conventional bronchodilators:

  1. Vocal cord dysfunction
  2. Allergic bronchopulmonary aspergillosis
  3. RB-ILD
  4. Bronchiectasis
  5. Bronchiolitis obliterans