A 49-year-old patient complains of dyspnea, cough. There are no sputum discharges. He has repeatedly used salbutamol and intal but with no effect. Objectively: he is only able to sit while leaning on the table. Cyanosis of face, acrocyanosis are present. Breathing is shallow, laboured, in some parts it cannot be auscultated; there are diffuse rales,expirationissignificantlyprolonged. Heart sounds are muffled, tachycardia is present. Ps - 112/min, AP- 110/70 mm Hg. Liverislocatednearthecostalarch.There are no peripheral edemata. What is your provisional diagnosis?

Answer options

1. Cardiac asthma
2. Status asthmaticus
3. Foreign object aspiration
4. Bronchiale asthma, moderate gravity
5. Chronic obstructive bronchitis

Explanation

Acute severe asthma = status asthmaticus = Severe Asthma attacks. Cardiac asthma is a medical diagnosis of wheezing, coughing, or shortness of breath due to congestive heart failure. It is known as cardiac asthma because the symptoms mimic ordinary asthma.Highlightsworsening dyspnea, wheeze, and cough that is not responding to salbutamolmaybe triggered by a respiratory tract infectionMODERATESEVERELIFE-THREATENING PEFR 50-75% best or predicted Speech normal RR < 25 / min Pulse < 110 bpm PEFR 33 - 50% best or predicted Can't complete sentences RR > 25/min Pulse > 110 bpm PEFR < 33% best or predicted Oxygen sates < 92% Silent chest, cyanosis, or feeble respiratory effort Bradycardia, dysrhythmia, or hypotension Exhaustion, confusion, or comaMODERATESEVERELIFE-THREATENING PEFR 50-75% best or predicted Speech normal RR < 25 / min Pulse < 110 bpm PEFR 33 - 50% best or predicted Can't complete sentences RR > 25/min Pulse > 110 bpm PEFR < 33% best or predicted Oxygen sates < 92% Silent chest, cyanosis, or feeble respiratory effort Bradycardia, dysrhythmia, or hypotension Exhaustion, confusion, or coma