BIOLOGIC PREDISCUSSION - ASTHMA

ASTHMA MDT BIOLOGIC PRE REFERRAL DISCUSSION: History: Patient is a 17-year-old male with a 5-year history of asthma. Asthma is triggered by exercise and seasonal allergies. Previous treatments include inhaled corticosteroids and LABAs, with poor symptom control. Current Drug History: - Salbutamol inhaler 100mcg, 2 puffs as needed - Fluticasone propionate/salmeterol 125/25mcg, 2 puffs twice daily Smoking History: Patient is a non-smoker. Social History: Patient is a student, lives with parents, and has no known social factors impacting asthma management. Previous Medical History: No significant previous medical history. Blood Results: "Total IgE: 120 kU/L" "Eosinophil Count: 0.6 x10^9/L" CT Scan and Chest X-ray Findings: Chest X-ray shows no acute abnormalities. CT scan not performed. Lung Function Tests: "FEV1: 75% predicted" "FVC: 80% predicted" "FEV1/FVC Ratio: 0.8" "FeNO: 45 ppb" "BMI: 22" Steroid Courses in the Last 12 Months: Patient has had 3 courses of oral steroids in the last 12 months. ENT and Gastro Symptoms: Occasional post-nasal drip, treated with over-the-counter antihistamines. No gastro symptoms. Discussion Status: This is the first discussion.