Question:
What are the pathophysiologic changes in asthma?
Author: H KAnswer:
Bronchial hyperresponsiveness (BHR): exaggerated bronchoconstriction due to stimuli, can be determined by PFT, tested also by delivering nebulized methacholine in doubling concentrations till FEV1>20% falls, we see the degree by PC20 (dose to get this fall, if no asthma doesn't reach 16 mg/ml, mild asthma 4-16, modetare 1-4, severe <1) Airway limitation (bronchoconstriction, mucus plugging, wall edema, inflammatory infiltrates, fibrosis, smooth-muscle hypertrophy, elastic recoil uncoupling.
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