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Relevant history gathering for patients with possible irritant-induced asthma

Relevant history gathering for patients with possible irritant-induced asthma
Was the onset of symptoms related to one "memorable" event in which there was exposure to a gas, fume, or dust?
Were there repeated gas, fume, or dust exposures of lesser intensities that still forced the subject to leave the premises?
Is there any ongoing exposure?
What was the nature of the substance? Has it been previously described as causing RADS (eg, acetic acid, ammonia, chlorine, isocyanates, mustard gas, fire/smoke)? Absence on a list of agents causing RADS does not exclude the diagnosis.
Was the concentration of the offending agent likely to be above accepted levels?
Were other workers or persons in the vicinity also affected?
Were there ocular or nasal symptoms? How long after the exposure(s) did they develop?
Describe the timing sequence of onset and diminution of symptoms: eg, immediate cough, shortness of breath after 30 min, wheezing after 1 hour, etc.
Was there a visit to an emergency room or a physician's office?
Were lung function tests, blood gases, or chest radiography performed soon after the event?
Was treatment initiated? What medications were used? What were the dose and duration?
Were there subsequent assessments, including records of symptoms, chest auscultation (wheezing), spirometry, bronchial responsiveness, and allergy skin tests?
Graphic 68098 Version 4.0

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