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Matt is a 9 y/o boy with a 3 year history of asthma. He is currently using her beta2 agonist inhaler 4 or 5 times a week...

Matt is a 9 y/o boy with a 3 year history of asthma. He is currently using her beta2 agonist inhaler 4 or 5 times a week and has nocturnal symptoms about twice a month. He is not taking any other medications. History is otherwise unremarkable. Physical exam is normal. Spirometry shows FEV1 = 90%. The correct diagnosis is: a. Severe Persistent Asthma b. Moderate Persistent Asthma c. Mild Persistent Asthma d. Mild Intermittent Asthma. According to the STEP approach, how would you treat this patient?

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Answer #1

The correct diagnosis is mild persistent asthma because he experiences nocturnal symptoms twice a month and uses SABA(beta 2 agonist) 4 or 5 times a week (do day symptoms are >1/week but <1/day).

To treat this condition, low dose ICS(Inhaled corticosteroid ) should be added to SABA.Low dose ICS should be used regularly while SABA should be used SOS(I.e. when required).

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