Learning Points:

I learned the difference between Cardiac asthama and Bronchial asthama.

I learned the role of corticosteroids in treatment of Bronchial Asthama.

I learned why the corticosteroids are given in Inhalation route.

I learned the signs and symptoms of Bronchial asthama

I learned importance of developing raport with patient that helps in eliciating detailed history.


OSCE:

Types of abnormal breath sounds:

1 .Wheezing - High pitched soundeds produced by narrowed airways

2.Stridor - Wheeze like sound heard when a person breaths

3. Rales- Small Clicking, bubbling ,or rattling sounds in the lungs .They are heard when a person breathes in Inhales.

4.Rhonchi - Sounds that resembles snoring 


Q.Sequence of events :

What was your patient's hourly workflow before the illness and how did it change after? 

A: 

Before the Illness:

1. Morning Routine:

   - Woke up at 6 AM and engaged in household activities, including dishwashing and cooking breakfast.

   - Breakfast comprised rice and curry, followed by cleaning the house and socializing with neighbors.

2. Daytime Activities:

   - Lunch around 2 PM, followed by cleaning and preparing food for son and daughter-in-law upon their return from work.

   - Quality family time in the evening, dinner at 8 PM, and sound sleep by 9 or 10 PM.

3. Sleep Quality:

   - Enjoyed a restful sleep, waking up refreshed in the morning.

After the Illness:

1. Altered Wake-up Time:

   - Wakes up 2 hours later at 8 AM and struggles with reduced energy levels.

2. Limited Physical Activity:

   - Inability to perform household chores due to exertion, struggles with standing for prolonged periods.

   - Reduced food intake, with difficulty in managing daily tasks and taking care of family.

3. Progressive Decline:

   - Gradual deterioration, leading to dependence on assistance for basic activities, including using the washroom.

   - Nighttime disturbances, waking up multiple times due to cough, resulting in morning sluggishness


4. Impact on Sleep Quality:

   - Sleep quality deteriorated post-illness, marked by disruptions during the night and a less refreshed feeling upon waking up.



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