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The Curbsiders Internal Medicine Podcast

#468: Asthma Update with Cyrus Askin

Jan 27, 2025
Cyrus Askin, a pulmonologist and medical director of the ICU, shares his insights on asthma management. He discusses the 2024 GINA Strategy and dives into diagnostic tools like spirometry and peak expiratory flow measurements. Askin also emphasizes tailored approaches for managing asthma in pregnant patients, detailing the effective use of medications like Budesonide-formoterol. He intertwines personal stories, including musical inspirations and a relatable look at the challenges of asthma in winter. This engaging conversation blends expert advice with human experiences.
01:25:12

Episode guests

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Quick takeaways

  • A thorough patient history and spirometry are vital for accurate asthma diagnosis and tailored management strategies.
  • Understanding asthma phenotypes, especially high T2 versus low T2, is essential for developing effective personalized treatment plans.

Deep dives

Introduction to Asthma Management

Asthma management begins with obtaining a thorough patient history and conducting appropriate tests to confirm the diagnosis. It is essential to utilize spirometry to support a clinical diagnosis, as empirical therapy without objective data may lead to missed alternate diagnoses. Healthcare providers should assess for asthma triggers, including allergic reactions and environmental factors, to gain a comprehensive understanding of the patient's condition. This thorough approach ensures that patients receive education about their symptoms and management strategies tailored to their specific needs.

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