Because we
care!
Urgent Care Center
912 Lakeside Drive
Mobile, AL 36693
Dr. RM Henderson
Dr. CS Sealy
Dr. CH Bailey
Dr. A Rester
Patient Information:
(last name) Madison (first) William (Billy)
(address) 1401 South Maple Street, Mobile, AL
(sex)Male
(DOB) 1-4-2008
(SS #) xxx-xx-7621
Symptoms:
Coughing
Wheezing
Shortness of breath
Pain in chest
Anxiety, scared and upset
Test Results:
Oxygen levels:
Blood pressure
Breathing rate:
Breathing sounds:
<92%
110/65
20; labored
wheezing
(normal >98%)
(normal 120/78
(normal 12)
(no sound)
Possible Diagnosis:
Review the medical information below. What do you think is wrong with Billy?
Create a visual representation of what Billy’s respiratory system might look like
compared to a normal respiratory system and explain what happened during Billy’s
soccer game. Explain what could be causing Billy to have his symptoms.
EIBExercise-induced bronchospasm (EIB) used to be called exercise-induced asthma. The
term bronchospasm means tightening and narrowing of the tubes that bring air in and
out of your lungs.
Many people with asthma have EIB. But EIB also affects some people who don’t have
asthma and some who have allergies rather than asthma.
If you have coughing, wheezing, or tightness in your chest that begins after you start
exercising, you could have EIB. This type of narrowing happens during vigorous
exercise because you tend to breathe more through your mouth instead of through your
Urgent Care Center
912 Lakeside Drive
Mobile, AL 36693
Because we
care!
Dr. RM Henderson
Dr. CS Sealy
Dr. CH Bailey
Dr. A Rester
nose. This allows cooler and drier air into your lungs, which can trigger the
bronchospasm.
Symptoms of EIB are most likely to occur if you are exercising outdoors in cold, dry
weather. This cold, dry air is usually warmed and moisturized by your nose when you
breathe normally. Symptoms of EIB usually begin anywhere from five to 15 or 20
minutes after exercise starts. These symptoms may include:
• Wheezing
• Shortness of breath
• Tightness in the chest
• Cough
• Sore throat
• Stomachache
• Tiring quickly during exercise
• Feeling very tired after exercise
Exercise that lasts longer and/or requires more exertion is more likely to trigger EIB
symptoms. Exercising when you are out of shape or when you have a head cold is also
more likely to trigger symptoms.
Asthma Symptoms:
Asthma is a chronic, inflammatory disease in which the airways become sensitive to
allergens (any substance that triggers an allergic reaction). Several things happen to the
airways when a child is exposed to certain triggers:
•
The lining of the airways becomes swollen and inflamed
•
The muscles that surround the airways tighten
•
The production of mucus is increased, leading to mucus plugs
Because we
care!
Urgent Care Center
912 Lakeside Drive
Mobile, AL 36693
Dr. RM Henderson
Dr. CS Sealy
Dr. CH Bailey
Dr. A Rester
All of these factors will cause the airways to narrow, thus making it difficult for air to go
in and out of your child's lungs and causing the symptoms of asthma.
After a child is exposed to a certain trigger, the body releases histamine and other
agents that can cause inflammation in a child's airways. The body also releases other
factors that can cause the muscles of the airways to tighten, or become smaller. There
is also an increase in mucus production that may clog the airways.
The following are the most common symptoms of asthma. However, each child may
experience symptoms differently. Symptoms may include:
• Coughing. This can be either constant or intermittent.
• Wheezing. A whistling sound that may be heard while your child is breathing.
• Trouble breathing or shortness of breath while your child is playing or exercising
• Chest tightness. Your child may say his or her chest hurts or does not feel good.
• Fatigue
• Nighttime cough
• Noisy breathing