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Bronchial Asthma Pathophysiology and management PDF

66 Pages·2014·2.22 MB·English
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Bronchial Asthma Pathophysiology and management  Dr Deepak Aggarwal MD, FCCP Asst. Professor Pulmonary medicine What is Asthma…..Definition ( GINA) • Asthma is  – A chronic inflammatory disorder of the airways in  which many cells and cellular elements play a role.  – The chronic inflammation is associated with airway  hyper‐responsiveness that leads to recurrent episodes  of wheezing , breathlessness, chest tightness and  coughing particularly at night or early morning.  – These episodes are usually associated with widespread,  but variable airflow obstruction within the lung that is  often reversible either spontaneously or with  treatment Causes/ Risk factors ENVIRONMENTAL RISK  GENETIC SUSCEPTIBILITY AND FACTORS GENE‐ENVIRONMENT INTERACTIONS Perinatal Factors Indoor and Outdoor Allergens Smoking and Environmental Tobacco  Smoke Other Pollutants Race/Ethnicity and Socioeconomic  Status Obesity Respiratory Illnesses How Asthma develops….. PATHOGENESIS PATHOGENESIS ASTHMA ‐ PATHOPHYSIOLOGY Asthma Inflammation underlies disease  Genetic predisposition processes Intrinsic vulnerability Clinical symptoms also vary by  Atopy/allergy  Phenotype varies by individual  individual and over time  and over time PATHOLOGY Asthma: Pathological changes

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Bronchial Asthma. Pathophysiology and management. Dr Deepak Aggarwal. MD, FCCP. Asst. Professor. Pulmonary medicine
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