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The Emergency Visit and Management of Asthma

Charles E. Reed, MD; and Loren W. Hunt, MD
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Requests for Reprints: Charles E. Reed, MD, Mayo Clinic, 200 First Street, S.W., W-15B, Rochester, MN 55905.

Mayo Clinic
Rochester, MN 55905

Ann Intern Med. 1990;112(11):801-802. doi:10.7326/0003-4819-112-11-801
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A physician advising a patient about management of asthma, whether in the hospital, emergency room, outpatient clinic, or office, must have clear goals in aiming to achieve a particular outcome. Advice about a reasonable outcome and the means to achieve it must be based on an accurate understanding of the pathophysiologic abnormalities to be reversed. The past decade has seen a revolutionary change in our understanding of asthma. No longer is it considered "bronchospasm" or "hyperactive airway disease." These physiologic phenomena are now recognized as merely symptoms of a unique kind of bronchitis characterized by desquamation of the respiratory epithelium;


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