A young patient with wheezing and dyspnoea on exertion: is all that wheezes asthma?

Kostikas
2009 Breathe  
A 21-year-old nonsmoking male visited his GP complaining of dyspnoea on exertion. His symptoms had started 3 years earlier, but he had experienced several episodes of dyspnoea and wheezing in the previous 6 months, when he started participating in a strenuous exercise programme. His medical history included hayfever for the past 4 years and recurrent chest infections during childhood with a remission in adolescence. Physical examination Physical examination revealed a mild pectus excavatum and
more » ... ctus excavatum and bilateral expiratory wheezing that was more prominent on the right hemithorax. His physical signs were normal and his arterial oxygen saturation in room air was 97%. A young patient with wheezing and dyspnoea on exertion: is all that wheezes asthma? Task 1 What was the most probable diagnosis for this patient? a) Asthma b) Chronic obstructive pulmonary disease (COPD) c) Bronchiectasis d) Congestive heart failure 263
doi:10.1183/18106838.0503.263 fatcat:kr5fcj7dybeuxa6wrwq76t4ptm