What factors do you consider prior to offering a trial of ICS/LABA therapy versus a methacholine challenge test in patients with suspected asthma but normal pulmonary function testing?
Answer from: at Community Practice
If there is a high suspicion of asthma, have the patient obtain a portable electronic spirometer. If peak flows/FeV1 drops >15% correlate with symptoms, start Rx and follow spiro results.
If low suspicion for asthma or very mild symptoms, do methacholine.
Comments
at Hartford Health Care Easier said than done. It's hard to convince patie...
at Gibbon Gary W Office If I want to exclude an asthma diagnosis, I find h...
Easier said than done. It's hard to convince patie...
If I want to exclude an asthma diagnosis, I find h...