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Asthma

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Emma Stauder

on 18 November 2015

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Transcript of Asthma

The Respiratory System
Responsible for breathing

Inhalation - process of air passing through respiratory tract and into lungs to supply oxygen to blood

Exhalation - passing of air out of lungs to rid body of carbon dioxide
Testing
About the Disease
Asthma causes inflammation and excess mucus secretion which narrow airways, making breathing difficult

Can affect people regardless of age; onset is usually during childhood

Over 25 million cases in US

Different levels of severity depending on individual; can be fatal
Asthma
Asthma
Chronic inflammatory disease due to constriction and inflammation of airways

Reversible between attacks

Shortness of breath, coughing, wheezing

Case Study
43 year old female
Works in office
Athletic; horseback rider
Recently lost beloved pet
A respiratory disease
Emma Stauder
Air containing oxygen passes through nose, pharynx, larynx, trachea, and then to bronchi in the lungs

Alveoli - sacs in lungs where oxygen and carbon dioxide are exchanged; where oxygen is transferred to blood
Causes
Genetics
Atopy
Other respiratory diseases
First or secondhand smoke
Exposure to allergens or other irritants
Triggers
Exercise



Allergies

Pollution / Smog
Sleeping

Mold

Cold air

Pets
Symptoms that may indicate asthma include wheezing, coughing, shortness of breath, dyspnea (especially during exercise, physical exertion, stressful situations), difficulty sleeping (due to wheezing, SOB, etc.), tight chest
Symptoms
To diagnose asthma, one or a combination of these tests are preformed:
Physical Exam - Auscultation or Observation

Spirometry

X-ray

Peak flow

Challenge tests

Blood tests
< Challenge
Inhale substance that triggers asthma in asthmatics
Treatment
There is no cure for asthma, but several ways to control it
Inhaler
- Rescue; albuterol; metered dose; relax airway muscles
- Machine that turns medicine into mist; quick relief; preventative
- Long term treatment; daily; reduce swelling; preventative
- For asthma caused by allergies; preventative
General Results of Treatment
Varies from case to case
Immediate relief from symptoms

Controlled, mild symptoms

Mild to moderate symptoms

Few or no symptoms or attacks
Patient Information
Medical History
Suffers from seasonal allergies
Mild eczema during extreme stress or grief
Overall healthy
Patient Symptoms
Testing and Diagnosis
CXR

Blood CO pressure and hematocrit

Spirometry

Observation during exercise
Patient diagnosed with Adult-Onset Asthma
- Radiographic image of chest
- Detect lung capacity
2
- How much space in blood is occupied by erythrocytes
Treatment
and Outcome
Alternative Medicine

Nebulizer
Inhaled corticosteroids
Allergy Shots
- Acupuncture; aromatherapy; traditional
Chinese; herbal remedies; chiropractic
Stress or Extreme
Emotion
Patient relied on alternative medicine, chiropractic adjustments, and inhaler as needed

Accupuncture multiple times a week with an emphasis on balancing meridians

Few - no symptoms in ten weeks
Diagnosis
(Types of asthma)
Child Onset Asthma

Adult Onset Asthma

Occupational Asthma

Exercise Induced Asthma

Nocturnal Asthma

Steroid Resistant Asthma

Allergenic Asthma
Medical Terms
Acupuncture:
Treatment of pain or disease via insertion of needles in various and specific points on body
Airway:
Passageway through which air enters and leaves the lungs
Alveoli:
Sacs at the end of bronchioles where oxygen and carbon dioxide are exchanged and where air is transferred to blood
Atopy:
Predisposition toward developing allergic reactions; hyperallergenic
Auscultation:
Listening directly to the sounds within body; typically with a stethoscope
Bronchi:
Branches into the lung from the trachea which divide and subdivide into bronchioles and alveoli (resembles a tree). Conducts air into lungs
Chiropractic:
Method of treatment that manipulates body structures to relieve various symptoms
Corticosteroids:
Steroid hormones administered as drugs that reduce swelling and decrease body's immune response
Dyspnea:
Difficult, labored, or uncomfortable breahing
Eczema:
Noninfctious imflammatory skin disease - redness, intching, scabs
Erythrocytes (Red Blood Cells):
Cells in blood that transport oxygen throughout body
Exhalation:
Passing of air out of lungs to rid body of carbon dioxide
Medical Terms Continued
Hematocrit:
Portion of blood that is occupied by red blood cells. High RBC count can be an indicator of chronic respiratory insufficiency
Inhalation:
Process of air passing through respiratory track into lungs to supply oxygen to blood
Inhaler:
Portable device that administers a dose of medicine to ease breathing
Larynx:
Where vocal cords are located - voicebox
Meridians:
(Chinese medicine) Network of energy pathways throughout body. Illness occurs when they become unbalanced (clogged or blocked). Restoration of balance results in good health again
Nose:
Organ of enterance to the respiratory tract which warms and moistens air
Onset:
Beginning or eary stages [of disease]
Peak Flow:
Device that measures maximum speed of exhalation; airflow through bronchi and degree of airway obstruction
Pharynx:
Food and air pssageway - throat
Spirometry:
Measurement of capacity of lungs; patient blows into a machine that measures and records results
Trachea:
Passageway for airflow from larynx to bronchi - windpipe
Wheezing:
High pitched sound during breathing which can indicate difficulty
X-ray / Radiography
: Produces images of internal organs using ionizing radiation produced by an energy source
Citations
Case Study:
http://www.iama.edu/Diplomate/IAMA-Case-Study.pdf
Information:

http://www.nhlbi.nih.gov/health/health-topics/topics/asthma/treatment.html
http://www.nhlbi.nih.gov/health/health-topics/topics/asthma/diagnosis.html
http://www.webmd.com/asthma/guide/asthma-symptoms
http://www.webmd.com/asthma/guide/nocturnal-asthma-nighttime-asthma
http://www.webmd.com/asthma/inhaled-corticosteroids-for-long-term-control-of-asthma
http://www.webmd.com/asthma/guide/asthma-inhalers
http://www.mayoclinic.org/diseases-conditions/asthma/in-depth/asthma/art-20045198?pg=2
http://www.mayoclinic.org/diseases-conditions/asthma/basics/symptoms/con-20026992
http://www.mayoclinic.org/diseases-conditions/asthma/in-depth/asthma-medications/art-20045557?pg=1
http://www.mayoclinic.org/diseases-conditions/asthma/in-depth/asthma-treatment/art-20044554?pg=1
http://www.mayoclinic.org/diseases-conditions/asthma/basics/tests-diagnosis/con-20026992
http://www.mayoclinic.org/tests-procedures/hematocrit/basics/definition/prc-20015009
http://www.cdc.gov/asthma/triggers.html
http://kidshealth.org/parent/medical/asthma/nebulizer_inhaler.html#
http://erj.ersjournals.com/content/29/1/179
http://www.tcmworld.org/what-is-tcm/the-meridian-connection/
http://www.medicalnewstoday.com/info/asthma/types-of-asthma.php
http://www.drkaslow.com/html/blood_cell_counts.html
http://health.howstuffworks.com/wellness/natural-medicine/home-remedies/home-remedies-for-asthma1.htm
http://www.westportchiropractic.com/acupuncture-evaluation-electro-meridian-imaging/
http://medical-dictionary.thefreedictionary.com
http://www.nhlbi.nih.gov/health/health-topics/topics/asthma/
Citations
Images:
http://www.buzzle.com/images/diagrams/human-body/respiratory-system-diagram.jpg
http://vectorblog.org/wp-content/uploads/2013/12/asthmatic-airway-Shutterstock.jpg
http://howikis.com/images/thumb/f/fd/Virtual.marian_normal_and_asthmatic_lungs.jpg/398px-Virtual.marian_normal_and_asthmatic_lungs.jpg
http://www.nhlbi.nih.gov/health/health-topics/images/spirometry.jpg
https://ssl.adam.com/graphics/images/en/22863.jpg
http://www.medcomrn.com/im/ce/m259b-01.jpg
http://www.aspergillus.org.uk/secure/image_library/abpa/pt4401.jpg
http://ins-news.com/de/100/816/1881/Klein-aber-oho-22-Gramm-für-zuverlässige-Lungenfunktionsprüfung-nach-neuesten-Standards--.htm
http://siklusair.com/wp-content/uploads/2013/07/asthma-nebulizer-machine.jpg
http://images.mooremedical.com/450x450/81993a_01-07.jpg
http://latorrewellnesscenter.com/wp-content/uploads/2012/01/Acupuncture.jpg
http://www.massallergy.net/images/slides/Asthma_Lungs.jpg
http://www.lienkabothaandpartners.co.za/wp-content/uploads/2014/06/asthma-death-statistics2.jpg
http://www.medicineforanewera.com/wp-content/uploads/2012/10/BloodTest.jpg
http://www.visualphotos.com/photo/1x8723823/woman_suffering_from_asthma_or_anxiety_attack_059065.jpg
http://cdn-3.normalbreathing.com/images-2010/woman-acute-asthma-exacerbation2.jpg
http://jamesstewartdds.com/wp-content/themes/stewart/library/uploads/woman-in-bed-cant-sleep.jpg
Dyspnea
Trouble sleeping - awoken due to dyspnea to cough excessively
Wheezing and SOB
Tight chest
-Symptoms provoked by exercise,
smoke, mold, and stress



-Severe disturbance to daily routine
-Began three years ago
-Temporary relief with inhaler
Full transcript