Beruflich Dokumente
Kultur Dokumente
DR MESHACK SHIMWELA
definition
• Barrel chest
• Global or focal wheezes, Pallor, Pulsus
paradox us,
• Use of accessory muscles,
• Exercise limitation Complications of
asthma often are more apparent than the
direct airway imaging findings that are the
sequelae of asthma.
During asthma attack
Adults
• Laryngeal dysfunction
• Mechanical obstruction
• Chronic bronchitis and emphysema
• Left ventricular failure
• Pulmonary embolus
• Pulmonary infiltrates with eosinophilia
investigations
• spirometry,-confirmatory
• reduced forced expiratory volume in one
second (FEV1) that is reversible with
inhalation of ß-adrenergic aerosols.
• bronchial challenge tests with histamine or
methacholine will reveal bronchial
hyperresponsiveness;
investigations
• Subglottic:
• Post-tracheostomy scarring/narrowing
Post-intubation scarring/narrowing
Thyroid compression, goitrous or
cancerous
Other causes of wheeze
• Tracheal and Large Airway:
• Foreign bodies, aspirated
Bronchial adenomas
Endobronchial sarcoidosis
Bronchogenic carcinoma and endobronchial
metastases
Peribronchial lymph node compression,
infectious or cancerous
Webs
Vascular rings
Other causes of wheeze
• Small Airways:
• Bronchiolitis, infectious or idiopathic
Lymph angio leiomyomatosis
Eosinophilic granuloma/histiocytosis-x
(Langerhans’ cell disorders)
Other causes of wheeze