Common causative organisms according to site of care Burkholderia pseudomallei should be considered especially if the patient has diabetes mellitus. Gram negative bacilli (Enterobacteriaceae & Pseudomonas may be the cause in those who have had antimicrobial treatment or who have pulmonary comorbitites. Regarding pseudomonal infection Strong risk factors Other risk factors Deciding site of treatment…
Acute exacerbation of asthma can cause severe breathlessness, wheeze, cough, and chest tightness, with measurable reductions in airflow. Rapid assessment and treatment with inhaled bronchodilators, systemic corticosteroids, and oxygen when indicated are vital to prevent deterioration. (Based on Malaysia CPG and GINA guideline)
Definition Asthma is a chronic inflammatory lung disease characterized by airway inflammation, narrowing & bronchial hyperreactivity, leading to episodic symptoms. Phenotypes Asthma can be classified into clinical and inflammatory subtypes, where the latter being more specific in guiding treatments. In terms of clinical phenotypes, some common ones include: Diagnosis The diagnosis of asthma requires combination…